Individual provider Active NPI

Rose Bartler Wagner, M.S.S., L.C.S.W.

  • Clinical Social Worker
  • Downingtown, PA
National Provider Identifier
1740204080
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015357 Issued in PA
Practice address
1131 Maryland Cir
Downingtown, PA 19335-3800
Phone
(484) 557-1412
Fax
(610) 873-2779
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW015357 PA Primary

Addresses

Primary practice location

1131 Maryland Cir
Downingtown, PA 19335-3800

Mailing address

1131 Maryland Cir
Downingtown, PA 19335-3800
Phone (484) 557-1412

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740204080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 MARYLAND CIR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353800",
            "telephone_number": "484-557-1412",
            "fax_number": "610-873-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 MARYLAND CIR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353800",
            "telephone_number": "484-557-1412",
            "fax_number": "610-873-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ROSE",
        "middle_name": "BARTLER",
        "credential": "M.S.S., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

  • 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.