NICOLE WAGNER (NPI# 1417415506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417415506 |
| Entity Type | Individual |
| Full Name | NICOLE WAGNER |
| Credential | LCSW |
| Practice Address |
280 Dobbs Ferry Rd Ste 303 White Plains NY 10607-1900 |
| Mailing Address |
1 Archer Pl Tarrytown NY 10591-4101 |
| Practice Telephone | 9145057855 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
088017-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720353311 | Nicole Wagner | Occupational Therapist | 465 S Lawrence Blvd, Keystone Heights, FL 32656-9222 | 2012-03-14 |
| 1164759882 | Nicole L Wagner | Pharmacist | 6601 Watauga Rd Ste 126, Watauga, TX 76148-3331 | 2009-11-17 |
| 1295803476 | Nicole S Wagner | Psychologist | 29525 Chagrin Blvd Ste 313, Beachwood, OH 44122 | 2006-12-04 |
| 1396353272 | Nicole Wagner | Counselor | 1100 Hospital Dr, Batavia, OH 45103-1920 | 2020-07-16 |
| 1114562097 | Nicole Kristin Wagner | Pharmacist | 17105 San Carlos Blvd, Fort Myers Beach, FL 33931-5305 | 2019-11-14 |
| 1841844925 | Nicole Doris Wagner | Occupational Therapist | 7430 W Commercial Blvd, Lauderhill, FL 33319-2130 | 2019-07-28 |
| 1265997605 | Nicole Jones Wagner | Physician Assistant | 1870 Pisgah Dr, Hendersonville, NC 28791-3759 | 2019-02-08 |
| 1881198059 | Nicole Wagner | Nurse Practitioner | 306 Race St, Holyoke, MA 01040-5720 | 2018-03-21 |
| 1942627484 | Nicole J Wagner | Nurse Practitioner | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2014-03-22 |
| 1154759033 | Nicole Wagner | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main St, Grass Valley, CA 95945 | 2013-10-31 |
| Street Address |
280 DOBBS FERRY RD STE 303 |
| City | WHITE PLAINS |
| State | NY |
| Zip Code | 10607-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930677 | Lotus Psychotherapy Lcsw Pllc | Counselor | 280 Dobbs Ferry Rd Ste 303, White Plains, NY 10607-1900 | 2018-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467939785 | Chiedozie C Chigewe | Nurse Practitioner | 455 Tarrytown Rd, Suite 1594, White Plains, NY 10607 | 2018-07-20 |
| 1235656299 | Denzel Cherry | Physical Therapist | One Stonewall Circle, White Plains, NY 10607 | 2017-08-29 |
| 1508110610 | Karlie S Goldstein | Social Worker | 280 Dobbs Ferry Rd Ste 200, White Plains, NY 10607 | 2012-10-29 |
| 1558623827 | Vebian Chang | Registered Nurse | 2 North Woodlands Ave, White Plains, NY 10607 | 2012-06-13 |
| 1124385984 | Ina Lesley Fiedler | Psychologist | 30 Manhattan Avenue, Lois Bronz Children's Center, White Plains, NY 10607 | 2012-04-18 |
| 1053687632 | Sholly Kunjumon Cherian | Registered Nurse | 5 Piper Ct, White Plains, NY 10607 | 2012-03-28 |
| 1306114152 | Hetal Patel | Pharmacist | 101 Knollwood Road, White Plains, NY 10607 | 2011-12-08 |
| 1174840946 | Mss Electronics Inc | Emergency Response System Companies | 16 Yellowstone Ave, White Plains, NY 10607 | 2010-05-03 |
| 1073836524 | Lovedale Ambulette Inc | Non-emergency Medical Transport (VAN) | 280 Dobbsfery Rd # 304, White Plains, NY 10607 | 2010-03-11 |
| 1225287402 | Mount Vernon Neighborhood Health Center, Inc. | Clinic/Center | 295 Knollwood Rd, White Plains, NY 10607 | 2008-09-12 |
| Find all providers in zip 10607 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223224 | Cheryl Lopez Therapy | Social Worker | 75 S Broadway Ste 404, White Plains, NY 10601-4413 | 2020-10-20 |
| 1043818008 | Karen Gallagher | Social Worker | 1 Wyndover Woods Ln, White Plains, NY 10603-3141 | 2020-10-13 |
| 1922617190 | Geoffrey S Edelstein | Social Worker | 42 Barker Ave Apt 5g, White Plains, NY 10601-1629 | 2020-07-23 |
| 1285258939 | Michelle Frazier | Social Worker | 8876 Osterly Ct, White Plains, MD 20695-4425 | 2020-05-28 |
| 1740803386 | Lisa Elaine Bolling | Social Worker | 155 Ferris Ave Apt 5d, White Plains, NY 10603-3448 | 2020-05-18 |
| 1841826443 | Sarah Parad Rowen Lcsw Pllc | Social Worker | 200 Bloomingdale Road, White Plains, NY 10605 | 2020-03-16 |
| 1366076234 | Loretta Fabel | Social Worker | 12 Easton Ave, White Plains, NY 10605-4104 | 2020-02-28 |
| 1104472398 | Yareni De Anda Drake | Social Worker | 21 Bloomingdale Rd Rm 101, White Plains, NY 10605-1504 | 2019-08-13 |
| 1588127781 | Amy Elizabeth Elmquist | Social Worker | 20 Harwood Ave, White Plains, NY 10603-3206 | 2019-04-13 |
| 1093274870 | Jennifer Schultz | Social Worker | 34 S Broadway Ste 204, White Plains, NY 10601-4431 | 2019-03-19 |
| Find all providers in WHITE PLAINS | ||||
| City | WHITE PLAINS |
| Zip Code | 10607 |
Please comment or provide details below to improve the information on NICOLE 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.