Danielle Carrie Wagner, LCGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

2002350 Issued in PA

Practice address

1 S Penn SQ
Philadelphia, PA 19107-3400

Phone

(215) 873-2012

NPI assigned

Mar 1, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1992833297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CONTINENTAL LN",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534606",
            "telephone_number": "609-206-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S PENN SQ",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191073400",
            "telephone_number": "215-873-2012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Chestnut St Ste 1250",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074413",
            "country_code": "US",
            "telephone_number": "215-351-2331 x2012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "DANIELLE",
        "middle_name": "CARRIE",
        "credential": "LCGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "PA",
            "license": "2002350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel I Wagman, MD
• Wagner Psychological Associates
• Abigail Wagner, DPT
• Beth A. Wagner, CRNP
• Brittany Wagner
• David K Wagner, MD
• Elizabeth Ann Wagner, DMD
• Gabrielle Wagner
• Hannah Michele Wagner, DMD
• Ida Janelle Wagner, M.D.

• Genetic Counselor (M.S.) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Genetic Counselor (M.S.) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.