MS. CAROL THERESA WAGNER (NPI# 1760537062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760537062 |
| Entity Type | Individual |
| Full Name | MS. CAROL THERESA WAGNER |
| Credential | LCSW |
| Practice Address |
2780 Schurz Ave Bronx NY 10465-3234 |
| Mailing Address |
286 Logan Ave Bronx NY 10465-3334 |
| Practice Telephone | 7188639134 |
| Practice Fax Number | 7188636125 |
| Mailing Telephone | 7188927599 |
| Mailing Fax Number | 7188923970 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2010-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
PR029268-1 | NY | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VALUE OPTIONS | 147324 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932233574 | Carol Wagner | Social Worker | 2346 S Lynhurst Dr, Indianapolis, IN 46241-8621 | 2007-03-15 |
| 1568570414 | Carol L Wagner | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| 1366459885 | Carol A Wagner | Speech-Language Pathologist | 5846 S Flamingo Rd, Cooper City, FL 33330-3237 | 2006-08-01 |
| Street Address |
2780 SCHURZ AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10465-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568524163 | Susan Neale Becker | Social Worker | 2780 Schurz Ave, Bronx, NY 10465-3234 | 2006-12-14 |
| 1760513774 | Preston Center of Compassion | Social Worker | 2780 Schurz Ave, Bronx, NY 10465-3234 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639648272 | Kenya Walters | Registered Nurse | 2761 Sampson Ave #2b, Bronx, NY 10465 | 2018-11-13 |
| 1619487873 | Samantha Salaman | Registered Nurse | 233 Graff Ave, Bronx, NY 10465 | 2017-10-02 |
| 1689199424 | Hermany Limo Transportation LLC | Non-emergency Medical Transport (VAN) | 3432-b2 East Tremont Ave, Bronx, NY 10465 | 2017-08-12 |
| 1588199046 | Yvanesa Garcia | Assistant Behavior Analyst | 351 Huntington Avenue, Bronx, NY 10465 | 2017-04-21 |
| 1104274653 | Vanessa Morales | Occupational Therapy Assistant | 3155 Miles Avenue, 1st Floor, Bronx, NY 10465 | 2016-05-25 |
| 1083060065 | Natasha Sustache | Registered Nurse | 3156a Miles Ave, Bronx, NY 10465 | 2016-05-10 |
| 1275905994 | Reagan Obiozor Anusionwu Np Psychiatry Pllc | Nurse Practitioner | 548 Throgs Neck Expwy, Bronx, NY 10465 | 2015-10-21 |
| 1386014363 | Ann Marie Gilligan | Speech-Language Pathologist | 3942 E.tremont Ave, Bronx, NY 10465 | 2015-10-02 |
| 1689075301 | Sean Kearns | Dentist | 3651 E Tremont Ave, Bronx, NY 10465 | 2014-09-12 |
| 1578975827 | Core Essentials Medical P.C. | General Practice | 3630 East Tremont Ave, Bronx, NY 10465 | 2014-05-21 |
| Find all providers in zip 10465 | ||||
| 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 |
|---|---|---|---|---|
| 1114527447 | Pearl Sharp Hacker | Social Worker | 90 Schofield Street, Bronx, NY 10464-1532 | 2020-10-27 |
| 1780283499 | Sean Power | Social Worker | 4320 Van Cortlandt Park E Apt 3k, Bronx, NY 10470-1931 | 2020-10-22 |
| 1023616455 | Eclectic Interventions, LLC | Social Worker | 880 Colgate Ave Apt 2l, Bronx, NY 10473-4807 | 2020-10-16 |
| 1467064808 | Suleyma Huerta Nava | Social Worker | 789 E 166th St Apt Wb, Bronx, NY 10456-5657 | 2020-08-18 |
| 1760092993 | Nancy Key | Social Worker | 600 Harding Park, Bronx, NY 10473-2341 | 2020-08-03 |
| 1780293399 | Eva Schonfeld Reichel | Social Worker | 3240 Henry Hudson Pkwy Apt 3h, Bronx, NY 10463-3220 | 2020-07-29 |
| 1013534114 | Alice S Liu | Social Worker | 2403 Cambreleng Ave Apt A, Bronx, NY 10458-6275 | 2020-07-06 |
| 1831714104 | Robert Patrick Benjamin | Social Worker | 250 Walton Ave Ste 2n, Bronx, NY 10451-5416 | 2020-06-12 |
| 1053946707 | Melisssa Berges | Social Worker | 2338 University Ave Apt 3s, Bronx, NY 10468-8200 | 2020-03-03 |
| 1639703978 | Arianny Marian Garcia | Social Worker | 1438 Waring Ave, Bronx, NY 10469-5734 | 2020-02-25 |
| Find all providers in BRONX | ||||
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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.