Active NPI
Keith Wagstaff, LMSW
- Social Worker
- New York, NY
National Provider Identifier
1407762248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 131921
- Practice address
- 201 W 72ND St Apt 7F
New York, NY 10023-2765 - Phone
- (310) 889-8532
- NPI assigned
- Aug 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 131921 | NY | Primary |
Addresses
Primary practice location
201 W 72ND St Apt 7F
New York, NY 10023-2765
Mailing address
PO Box 20020
New York, NY 10023-1482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1407762248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20020",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100231482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W 72ND ST APT 7F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100232765",
"telephone_number": "310-889-8532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGSTAFF",
"first_name": "KEITH",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-21",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "131921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.