Brianna Wagner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW027189 Issued in PA

Practice address

3835 Chestnut St
Emmaus, PA 18049-1830

Phone

(484) 232-5288

NPI assigned

Jun 14, 2023

Last updated

Jul 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Valley Geropsych, LLCGroup PAC ID 2062659584, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Geropsych, LLC

  dba Ethos Clinic

  • Geriatric Psychiatry Physician
  • Lehighton, PA
  • NPI 1588900815

  Single Specialty

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784332800000",
    "number": "1235813882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 INTERCHANGE RD STE 201",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182358767",
            "telephone_number": "484-735-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 CHESTNUT ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180491830",
            "telephone_number": "484-232-5288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Interchange Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lehighton",
            "state": "PA",
            "postal_code": "182358767",
            "country_code": "US",
            "telephone_number": "484-735-3268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "BRIANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW140198",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW027189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Family Therapeutics LLC
• Michelle Renee Varra-White, MSS, LCSW
• Andrea M Veres, MS/CCC-SLP
• Angela Villalba, PTA
• Christine R. Viola, D.O.
• Saffiya Washington, LMT
• Jordan Dennis Weber, DPT
• Weis Markets Inc (Weis Pharmacy)
• Mackenzie Weiss, PT, DPT
• Mark Wendling, MD

• Clinical Social Worker in Emmaus, PA
• Providers in Emmaus, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.