Andrea Stephanie Wagner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05754500 Issued in NJ

Practice address

82 Elm St
Westfield, NJ 07090-2158

Phone

(201) 470-4006

NPI assigned

Oct 13, 2017

Last updated

Oct 13, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NJ

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychiatry on Video LLCGroup PAC ID 6800269432, 6 clinicians

Premier Psychiatric Consultants, LLCGroup PAC ID 7315077120, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Premier Psychiatric Consultants LLC

  • Adult Mental Health Clinic/Center
  • West New York, NJ
  • NPI 1508182072
  Medicare reassignment Care Compare group NPD
• Psychiatry on Video LLC

  • Psychiatry Physician
  • Ridgewood, NJ
  • NPI 1700532587
  Medicare reassignment Care Compare group NPD
• Livwell Mental Health, LLC

  • Community/Behavioral Health Agency
  • Dover, NJ
  • NPI 1306790779
  NPD Authorized official

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1710498068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070320251",
            "telephone_number": "201-469-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 ELM ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902158",
            "telephone_number": "201-470-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ANDREA",
        "middle_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05754500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Vollero, MSAC LAC
• Peter George Vosseler, MSW, LCSW
• Vosss Corner Counseling Center LLC
• Ryan Robert Vrindten, PT, DPT
• Tiffany Vuong, MS
• Claudia Anne Wagner, MD
• Walgreen Co (Walgreens #13700)
• Abigail Wall
• Gerard Walsh, COTA
• Lois A Walter

• Clinical Social Worker in Westfield, NJ
• Providers in Westfield, 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 Oct 13, 2017; 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.