SAMANTHA WAGNER (NPI# 1669801791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SL05714100 | NJ | Behavioral Health & Social Service Providers |
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 |
Street Address |
30 PROSPECT AVE |
City | HACKENSACK |
State | NJ |
Zip Code | 07601-1914 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 07601 |
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 |
---|---|---|---|---|
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 |
City | HACKENSACK |
Zip Code | 07601 |
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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.