Sarah Lane Wagner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090020-01 Issued in NY

Practice address

40 La Riviere Dr
Buffalo, NY 14202-4344

Phone

(716) 893-1010

Fax

(716) 893-1002

NPI assigned

Mar 26, 2014

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

Other names 1

• Sarah Lane Currie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1588081707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4479 LAWSON RD",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147019455",
            "telephone_number": "814-688-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 LA RIVIERE DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142024344",
            "telephone_number": "716-893-1010",
            "fax_number": "716-893-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4479 Lawson Rd",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NY",
            "postal_code": "147019455",
            "country_code": "US",
            "telephone_number": "814-688-8057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "SARAH",
        "middle_name": "LANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091363-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090020-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "CURRIE",
            "middle_name": "LANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Judith Marie Wagner, MA/CRC
• Keturah Wagner, CPD
• Mary Wagner, CRNA
• Mary Sophia Wagner
• Rebecca Michelle Wagner, D.V.M.
• Sheri Lynn Wagner, MD
• Timothy Michael Wagner
• Aryan Wahab, M.D.
• Saadia Waheed, M.B.B.S
• Amber Marie Wahl, RN

• Clinical Social Worker in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.