Mark Wagner, LCSW-C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15324 Issued in MD

Practice address

540 Riverside Dr Ste 7
Salisbury, MD 21801-5352

Phone

(410) 548-3333

Fax

(410) 548-3341

NPI assigned

Jul 22, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cove Recovery, LLCGroup PAC ID 4688710841, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Cove Recovery, LLC

  • Mental Health Counselor
  • Salisbury, MD
  • NPI 1013241611
  Medicare reassignment Care Compare group NPD
• Cove Recovery, LLC

  • Mental Health Counselor
  • Cambridge, MD
  • NPI 1417338153
  NPD

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1992358741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 RIVERSIDE DR STE 7",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015352",
            "telephone_number": "410-548-3333",
            "fax_number": "410-548-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 RIVERSIDE DR STE 7",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015352",
            "telephone_number": "410-548-3333",
            "fax_number": "410-548-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "15324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heatherjohnson@jdavidcollins.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "540 Riverside Dr Ste 8",
            "city": "Salisbury",
            "state": "MD",
            "country_code": "US",
            "postal_code": "218015352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Olivia Helen Wackett, LCSW-C
• Paula Waddy, M.D.
• Salina Waddy
• Casey Neshun Wadsworth, MD
• Caroline Clarry Wagner, PT, DPT
• Michael Wagner, MD
• Cortney Wain
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Tammy S Walbert, FNP-BC

• Mental Health Counselor in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.