Individual provider Active NPI

Tierney Vagts, LCSW

  • Clinical Social Worker
  • Little Egg Harbor TWP, NJ
National Provider Identifier
1942950720
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06058400 Issued in NJ
Practice address
106 Oneida Lake Dr
Little Egg Harbor TWP, NJ 08087-3708
Phone
(732) 675-3233
NPI assigned
Mar 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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 44SC06058400 NJ Primary

Addresses

Primary practice location

106 Oneida Lake Dr
Little Egg Harbor TWP, NJ 08087-3708

Mailing address

106 Oneida Lake Dr
Little Egg Harbor TWP, NJ 08087-3708
Phone (732) 675-3233

Other identifiers 1

IdentifierTypeStateIssuer
44SC06058400OtherNJLICENSED CLINICAL SOCIAL WORKER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240529000565 NJ Practitioner - Clinical Social Worker 7416399027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanticare Behavioral Health, Inc.Group PAC ID 3476450354, 28 clinicians

Practice addresses (Care Compare)

13 N Hartford Ave
Atlantic City, NJ 08401-3512
Phone (609) 348-1161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Behavioral Health, Inc. CurrentSince May 5, 2024 Accepting new patients
Atlanticare Behavioral Health, Inc CurrentSince May 5, 2024 Accepting new patients

Locations

13 N Hartford Ave
Atlantic City, NJ 08401
Phone (609) 348-1161

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

6010 Black Horse Pike
Egg Hbr Twp, NJ 08234
Phone (609) 272-0909

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1942950720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ONEIDA LAKE DR",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080873708",
            "telephone_number": "732-675-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ONEIDA LAKE DR",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080873708",
            "telephone_number": "732-675-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGTS",
        "first_name": "TIERNEY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06058400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "44SC06058400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Egg Harbor TWP, NJ

Sources for this page

Verify at the official NPI Registry.