Karen Elizabeth Wagner, MSW, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

44SC05428000 Issued in NJ

Practice address

127 Union Ave Ste 4
Middlesex, NJ 08846-1039

Phone

(732) 595-7689

Fax

(732) 595-3150

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Karen Elizabeth Gibson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Anxiety Treatment Center, LLC.

  • Clinical Social Worker
  • South Bound Brook, NJ
  • NPI 1356760813
  NPD (past)
• Center for Therapy & Counseling Services, LLC

  • Clinical Social Worker
  • East Brunswick, NJ
  • NPI 1487887915
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1295800951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PATRIOTS PATH",
            "city": "SOUTH BOUND BROOK",
            "state": "NJ",
            "postal_code": "088801495",
            "telephone_number": "215-378-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 UNION AVE STE 4",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461039",
            "telephone_number": "732-595-7689",
            "fax_number": "732-595-3150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 Livingston Ave Bldg 100",
            "address_purpose": "LOCATION",
            "city": "North Brunswick",
            "state": "NJ",
            "postal_code": "089021873",
            "country_code": "US",
            "telephone_number": "732-729-3611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Bridge St",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "NJ",
            "postal_code": "088072135",
            "country_code": "US",
            "telephone_number": "908-725-2800 x3114",
            "fax_number": "908-704-1790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 W Prospect St Ste 2",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "088162161",
            "country_code": "US",
            "telephone_number": "732-254-0600",
            "fax_number": "732-254-8606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05428000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.theranest.com",
            "affiliation": "N",
            "address_1": "127 Union Ave Ste 4",
            "city": "Middlesex",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088461039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "GIBSON",
            "middle_name": "ELIZABETH",
            "credential": "MSW, LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Unlocked Potential, LLC
• Unlocked Potential, LLC
• Upper Cervical Chiropractic of New Jersey LLC
• Ingrid Vaca-Bullaro, LPC
• Vanessa Vanegas
• Walgreens
• Williams Serene Psychiatry
• Lorraine Williams-El, PHARMD
• Crystal Wozniak
• Your Eyes and You LLC

• All providers in Middlesex, NJ
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.