MS. SUSAN ANGLIN WAGNER (NPI# 1679963482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679963482 |
| Entity Type | Individual |
| Full Name | MS. SUSAN ANGLIN WAGNER |
| Credential | M.S. |
| Practice Address |
205 N Monroe St Media PA 19063-3052 |
| Mailing Address |
391 Kirk Ln Media PA 19063-2217 |
| Practice Telephone | 6106274654 |
| Mailing Telephone | 6106274654 |
| Enumeration Date | 2015-02-01 |
| Last Update Date | 2015-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | PC007001 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514722 | Susan Maxine Wagner | Nurse Practitioner | 103 Hilton Cir, Enterprise, AL 36330-7815 | 2020-06-26 |
| 1154672400 | Susan Wagner | Case Manager/Care Coordinator | 12 Lancaster Rd, Island Park, NY 11558-2136 | 2012-09-26 |
| 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 |
| 1609158864 | Susan Wagner | Community Health Worker | 312 Crescent St, Greenville, CA 95947 | 2011-09-14 |
| Street Address |
205 N MONROE ST |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-3052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851354575 | Cynthia M Conan | Social Worker | 205 N Monroe St, Media, PA 19063-3052 | 2006-04-11 |
| 1386299345 | Marna S Barrett Phd LLC | Psychologist | 205 N Monroe St, Media, PA 19063-3052 | 2019-08-07 |
| 1013381151 | Delaware County S.a.g.e. | Community/Behavioral Health | 205 N Monroe St, Media, PA 19063-3052 | 2015-11-29 |
| 1790188761 | Comprehensive Psychological Consulting Services LLC | Psychologist | 205 N Monroe St, Media, PA 19063-3052 | 2014-10-03 |
| 1821326653 | Barbara Nagel, Lcsw | Clinic/Center | 205 N Monroe St, Media, PA 19063-3052 | 2009-12-07 |
| 1467648287 | Veronica J Herzog | Marriage & Family Therapist | 205 N Monroe St, Media, PA 19063-3052 | 2007-09-16 |
| 1295932887 | Jesseca Smith | Psychologist | 205 N Monroe St, Media, PA 19063-3052 | 2007-06-28 |
| 1285777995 | Patricia A Fletcher | Social Worker | 205 N Monroe St, Media, PA 19063-3052 | 2007-02-14 |
| 1255489365 | Barbara Whitney Nagel | Social Worker | 205 N Monroe St, Media, PA 19063-3052 | 2007-01-08 |
| 1225197684 | Marcelle Idette Blair Hall | Social Worker | 205 N Monroe St, Media, PA 19063-3052 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690795 | Deborah Voluck | Counselor | 274 Glen Riddle Rd Apt C105, Media, PA 19063-5839 | 2018-12-07 |
| 1356779078 | Lisa Nilon Redding | Counselor | 210 W Front St Ste 214, Media, PA 19063-3149 | 2013-10-15 |
| 1548500820 | Social Enrichment Center | Counselor | 216 South Orange Street, Media, PA 19063 | 2013-02-22 |
| 1871899724 | Linda Irene Case | Counselor | 1400 North Providence Road, Suite 117, Rose Tree Corporate Center, Media, PA 19063 | 2011-02-09 |
| 1679893044 | Kateryna Dukenski | Counselor | 4 W Front St, Media, PA 19063-3306 | 2010-06-08 |
| 1902059827 | Helen L Struckmann | Counselor | 349 W Baltimore Ave, 2nd Fl Rear, Media, PA 19063-2609 | 2008-10-23 |
| 1851441190 | Melissa J Arnott-cox | Counselor | 211 West State Street, Siute 204, Media, PA 19063 | 2007-01-11 |
| 1528609625 | Leela Ehrhart | Counselor | 524 N Providence Rd, Media, PA 19063-3056 | 2019-10-01 |
| 1124402425 | Andrew Zakhari | Counselor | 1223 N Providence Rd, Media, PA 19063-1235 | 2015-07-16 |
| 1508119561 | Julie J Kimsey-carroll | Counselor | 107 Chesley Dr, Unit #5, Media, PA 19063-1760 | 2012-10-16 |
| Find all providers in MEDIA | ||||
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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.