Miles Wagman, MSW, LCSW, LMFT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00365300 Issued in NJ

Practice address

41 Reckless PL
Red Bank, NJ 07701-1703

Phone

(732) 530-7544

Fax

(732) 530-4145

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629091236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 RECKLESS PL",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011703",
            "telephone_number": "732-530-7544",
            "fax_number": "732-530-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 RECKLESS PL",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011703",
            "telephone_number": "732-530-7544",
            "fax_number": "732-530-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGMAN",
        "first_name": "MILES",
        "name_prefix": "Mr.",
        "credential": "MSW,  LCSW, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00365300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vitality Integrative Health & Acupuncture LLC
• VLR Med LLC
• William Christopher Vockroth, D.M.D.
• Semyon Volman, AC
• Zelda Wachman, MD
• Melinda Wagner, DMD
• Dennis Waite, PT, DPT, CSCS
• Walgreen Co
• Walgreen Co .
• Carole A Wallace, D.D.S.

• Clinical Social Worker in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.