Tiffany Wagner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW019949 Issued in PA

Practice address

640 Walnut St
Suite 303
Reading, PA 19601

Phone

(610) 208-8860

NPI assigned

Jan 7, 2015

Last updated

May 24, 2018By the provider in NPPES

Sex

Female

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

87.07

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1902294325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROBINSON ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194646421",
            "telephone_number": "610-326-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 WALNUT ST",
            "address_2": "SUITE 303",
            "city": "READING",
            "state": "PA",
            "postal_code": "19601",
            "telephone_number": "610-208-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "TIFFANY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Wade, LSW
• Charles Allen Wagner Jr., DO
• Lauren Elizabeth Wagner, RDH, PHDHP
• Mark Elliot Wagner, D.O.
• Nicole T Wagner, P.T.
• Robert Wesley Wahl III, D.D.S.
• Donna Louise Wainwright, PT
• Wal-Mart Stores East , LP (Wal-Mart Pharmacy 10-1777)
• Wal-Mart Stores East, LP (Vision Center 30-1777)
• Walgreen Co (Walgreens #15937)

• Clinical Social Worker in Reading, PA
• Providers in Reading, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.