MS. SUSAN WAGNER (NPI# 1154672400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154672400 |
| Entity Type | Individual |
| Full Name | MS. SUSAN WAGNER |
| Practice Address |
12 Lancaster Rd Island Park NY 11558-2136 |
| Practice Telephone | 3478130018 |
| Mailing Telephone | 3478130018 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 857349 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514722 | Susan Maxine Wagner | Nurse Practitioner | 103 Hilton Cir, Enterprise, AL 36330-7815 | 2020-06-26 |
| 1134420185 | Susan Carol Wagner | Social Worker | 1108 Dithridge Dr, Johnstown, PA 15905-1503 | 2010-11-08 |
| 1467776781 | Susan Elizabeth Wagner | Marriage & Family Therapist | 79 Encinal Way, Ventura, CA 93001-3317 | 2010-03-15 |
| 1275768558 | Susan J Wagner | Community Health Worker | 278 John Tuttle Rd, New Kingston, NY 12459 | 2009-05-15 |
| 1437353976 | Susan Folmar Wagner | Counselor | 1040 Allegheny Ave Sw, Ocean Crest School, Bandon, OR 97411-9034 | 2007-06-11 |
| 1508089053 | Susan Wagner | Psychologist | 223 Katonah Ave Ste Ef, Katonah, NY 10536-2146 | 2007-04-11 |
| 1144337635 | Susan M Wagner | Physical Therapist | 85 Pleasant Dr, Hastings, MN 55033-1648 | 2006-08-23 |
| 1346695301 | Susan Rae Wagner | Nurse Practitioner | 142 Highland Dr, Lebanon, VA 24266-4636 | 2016-04-27 |
| 1679963482 | Susan Anglin Wagner | Counselor | 205 N Monroe St, Media, PA 19063-3052 | 2015-02-01 |
| 1609158864 | Susan Wagner | Community Health Worker | 312 Crescent St, Greenville, CA 95947 | 2011-09-14 |
| Street Address |
12 LANCASTER RD |
| City | ISLAND PARK |
| State | NY |
| Zip Code | 11558-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316403249 | Maria Digennaro | Specialist | 133 Jefferson Ave, Island Park, NY 11558 | 2019-02-15 |
| 1376925255 | Jeremy Todd | Chiropractor | 4454 Austin Bvld, Island Park, NY 11558 | 2015-06-26 |
| 1538349816 | Barry J Goodman Dc PC | Chiropractor | 156 Long Beach Road, Island Park, NY 11558 | 2007-11-05 |
| 1154535748 | Sheila Peck | Social Worker | 1010 California Pl S, Island Park, NY 11558 | 2007-05-10 |
| 1659407211 | Vimla P. Vadhan | Psychologist | 1 Long Beach Road, Bayview Nursing Home, Island Park, NY 11558 | 2007-02-26 |
| 1184633604 | James Vincent Thorne | Dentist | 175 Hamilton Ave, Island Park, NY 11558 | 2006-08-05 |
| 1013980630 | Steven L Prince | Podiatrist | 78 Marina Rd, Island Park, NY 11558-1007 | 2006-02-13 |
| 1154872265 | Abby Etta Winderman | Behavior Technician | 95 Ostend Rd, Island Park, NY 11558-1016 | 2016-10-24 |
| 1407136351 | Jeffrey Peter Goldstein | Physical Therapist | 33 Redfield Rd, Island Park, NY 11558-1018 | 2011-08-24 |
| 1386967032 | Virginia Lee Davis | Speech-Language Pathologist | 49 Redfield Rd., Island Park, NY 11558-1018 | 2010-03-10 |
| Find all providers in zip 11558 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255220 | Nelcy M Garcia De Leon | Case Manager/Care Coordinator | 11 Thamsen Dr, Stony Point, NY 10980-1054 | 2020-11-06 |
| 1003416769 | Mashhura Rofieva | Case Manager/Care Coordinator | 1733 Sheepshead Bay Rd Ste 16, Brooklyn, NY 11235-3743 | 2020-10-30 |
| 1285234369 | David Olmedo | Case Manager/Care Coordinator | 3192 Rawlins Ave, Bronx, NY 10465-1340 | 2020-10-28 |
| 1144829326 | Perel Langsam | Case Manager/Care Coordinator | 14 Jeffrey Pl, Monsey, NY 10952-5702 | 2020-10-20 |
| 1609474295 | Akyra M. Green | Case Manager/Care Coordinator | 11 Dobson Ave, Merrick, NY 11566-4127 | 2020-10-15 |
| 1578161162 | Elizabeth Anna Rubin | Case Manager/Care Coordinator | 3513 Broadway Apt 2l, Astoria, NY 11106-1162 | 2020-10-15 |
| 1033717855 | Sarah Bruck | Case Manager/Care Coordinator | 14 Melnick Dr, Monsey, NY 10952-3328 | 2020-10-14 |
| 1831797091 | Yuliya Levakova | Case Manager/Care Coordinator | 146 Macfarland Ave, Staten Island, NY 10305-4448 | 2020-10-10 |
| 1861009383 | Faith Gibbs | Case Manager/Care Coordinator | 13038 224th St, Laurelton, NY 11413-1244 | 2020-09-29 |
| 1316554074 | Sherry Ann Brion | Case Manager/Care Coordinator | 126 W Chemung St Ste 103, Painted Post, NY 14870-1300 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | ISLAND PARK |
| Zip Code | 11558 |
Please comment or provide details below to improve the information on MS. SUSAN WAGNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.