Ms Carol Theresa Wagner, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bronx, New York. Her current practice location is
2780 Schurz Ave, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 863-9134.
Ms Carol Theresa Wagner is licensed to practice in New York (license number PR029268-1) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760537062.
Healthcare Provider's Profile
| Full Name | Ms Carol Theresa Wagner |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 2780 Schurz Ave, Bronx, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Carol Theresa Wagner attended and graduated from in
NPI Data:
- NPI Number: 1760537062
- Provider Enumeration Date: 01/24/2007
- Last Update Date: 08/06/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Carol Theresa Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760537062 | NPI | - | NPPES |
| 147324 | Other | | VALUE OPTIONS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | PR029268-1 (New York) | Primary |
| 1041S0200X | Social Worker - School | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Carol Theresa Wagner is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Carol Theresa Wagner, LCSW
286 Logan Ave,
Bronx, NY 10465-3334
Ph: (718) 892-7599 | Ms Carol Theresa Wagner, LCSW
2780 Schurz Ave,
Bronx, NY 10465-3234
Ph: (718) 863-9134 |
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