SAMANTHA WAGNER


Address: 30 Prospect Ave, Hackensack, NJ 07601-1914
Phone: 2015278663

SAMANTHA WAGNER (NPI# 1669801791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669801791
Entity Type Individual
Full Name SAMANTHA WAGNER
Practice Address 30 Prospect Ave
Hackensack
NJ 07601-1914
Practice Telephone 2015278663
Enumeration Date 2013-11-08
Last Update Date 2017-04-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
44SL05714100 NJ Behavioral Health & Social Service Providers

Other Providers SAMANTHA WAGNER

NPI Name Taxonomy Address Enumeration
1770943078 Samantha Ann Wagner Specialist/Technologist 170 Athletic Ctr, Stillwater, OK 74078-0001 2016-02-29
1083245781 Samantha Nicole Wagner Behavior Technician 1563 Kingsley Ave Ste 103, Orange Park, FL 32073-4503 2020-01-31
1538631114 Samantha Elizabeth Wagner Nurse Practitioner 209 9th St, Rockford, IL 61104-2235 2018-12-20
1689151391 Samantha Wagner Pharmacist 410 W 10th Ave, 368 Doan Hall, Columbus, OH 43210 2018-07-25
1124524608 Samantha Wagner Social Worker 8616 Northern Ave, Rockford, IL 61107-5309 2018-04-03
1013415199 Samantha Brooke Wagner Counselor 3230 Waring Ct Ste A, Oceanside, CA 92056-4509 2018-01-24
1598272429 Samantha Rose Wagner Social Worker 8261 Market St, Boardman, OH 44512-6254 2017-12-31
1528595394 Samantha Louise Wagner Student in an Organized Health Care Education/Training Program 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 2017-05-11
1508311622 Samantha M Wagner Registered Nurse 191 N Main St, Wellsville, NY 14895-1150 2016-08-18
1134559966 Samantha Wagner Behavioral Analyst 16782 Von Karman Ave Ste 11, Irvine, CA 92606 2013-11-14

Office Location

Street Address 30 PROSPECT AVE
City HACKENSACK
State NJ
Zip Code 07601-1914

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417955279 Despee Bockarie Konneh Physician Assistant 30 Prospect Ave, Hackensack, NJ 07601-1915 2005-07-14
1629675616 Jena Marie Ahmed Nurse Practitioner 30 Prospect Ave, Hackensack, NJ 07601-1915 2020-10-03
1114532173 Caroline Castro Nurse Practitioner 30 Prospect Ave, Hackensack, NJ 07601-1915 2020-09-15
1013521244 Stephanie Akanbi Nurse Practitioner 30 Prospect Ave, Hackensack, NJ 07601-1915 2020-09-04
1639781388 Caitlin Brianna Powers Registered Nurse 30 Prospect Ave, Hackensack, NJ 07601-1915 2020-08-22
1457960270 Neha Bhasin Registered Nurse 30 Prospect Ave, Hackensack, NJ 07601-1915 2020-07-28
1083232375 James Robert Hoff IIi Physician Assistant 30 Prospect Ave, Hackensack, NJ 07601-1915 2020-07-13
1043834336 Daniel Sheldon Physician Assistant 30 Prospect Ave, Hackensack, NJ 07601-1915 2020-06-02
1710500780 Ferdinand Pontejos Nurse Practitioner 30 Prospect Ave, Hackensack, NJ 07601-1915 2020-05-25
1972126969 Eric Hugenberg Pharmacist 30 Prospect Ave, Hackensack, NJ 07601-1915 2020-05-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750989414 Alpha Healthcare Staffing Firm, LLC Registered Nurse 194 Passaic Street, Hackensack, NJ 07601 2020-10-15
1396350120 Lower Limb Institute Podiatrist 211 Esses Street, Suite 405, Hackesack, NJ 07601 2020-09-09
1649825233 Rachel Korenblit Social Worker 235 Main St Ste 203, Hackensack, NJ 07601 2019-08-09
1740846567 Samantha Pirnat Counselor 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 2019-05-16
1881258499 Tara Lynn Smith Social Worker 160 South River Street, Hackensack, NJ 07601 2019-04-29
1922569318 Solomon Isakov Dentist 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 2019-03-27
1114403409 Mildred Lopez Vasquez Home Health Aide 12 Rowland Avenue, Hackensack, NJ 07601 2018-07-19
1538656582 Zara Pharmacy LLC Pharmacy 57 Linden St, Hackensack, NJ 07601 2018-04-16
1447759048 Maryann Hom Social Worker 307 Prospect Avenue, 14e, Hackensack, NJ 07601 2018-02-08
1699274258 Kirsten Byrnes Psychologist Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 2018-02-08
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649825233 Rachel Korenblit Social Worker 235 Main St Ste 203, Hackensack, NJ 07601 2019-08-09
1184277105 Terasa Tanelli Social Worker 75 Essex St Ste 110, Hackensack, NJ 07601-4034 2019-07-18
1861978553 Bryana Cook Social Worker 112 Highway 371 S, Hackensack, MN 56452-2638 2018-07-16
1447759048 Maryann Hom Social Worker 307 Prospect Avenue, 14e, Hackensack, NJ 07601 2018-02-08
1770941031 Milton A Kaufman Social Worker 25 Grand Ave Apt 2b, Hackensack, NJ 07601-4638 2016-02-02
1649608852 Karen A Venezia Social Worker Jtcc @humc 92 Second Street, Jtcc 3rd Floor, Hackensack, NJ 07601 2013-10-25
1316371339 Jared P Delancey Social Worker 70 Polifly Rd, #307, Hackensack, NJ 07601-3216 2013-08-27
1679816722 Ivelise Velez Social Worker 560 Hudson St, 3-2, Hackensack, NJ 07601-6655 2013-03-27
1942563515 Maria Molina Social Worker 100 2nd St Apt 307, Hackensack, NJ 07601-2135 2012-06-19
1720306434 Aimee Lee Marston Social Worker 75 Essex Street, Suite 206, Hackensack, NJ 07601-4035 2010-05-06
Find all providers in HACKENSACK

Competitor

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City HACKENSACK
Zip Code 07601

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Dataset Information

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.

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