SHANNON WAGNER LCSW - NPI 1013680545 - Social Worker in Schenectady, NY

Q: What is Shannon Wagner's NPI number?

The NPI number for Shannon Wagner is 1013680545. It was assigned to this individual provider in the NPPES registry on July 30, 2021.

Q: What is Shannon Wagner's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Wagner was last updated on March 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Shannon Wagner Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON WAGNER LCSW (NPI 1013680545) is an individual social worker in Schenectady, New York, licensed in New York (099684) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1013680545

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSHANNON WAGNERCredential: LCSW

Location Address1 GENIUM PLZSchenectady, NY 12304-4607

Mailing Address10 Vernon BlvdScotia, NY 12302-2606

Phone(518) 346-1285

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 30, 2021

Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration

NPPES CertifiedMarch 3, 2025

✔ NPI 1013680545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 099684

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 099684 (NY)

1 GENIUM PLZ, Schenectady, NY 12304

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Wagner Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547768798

PECOS Enrollment IDI20250807003473

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA G FUSCUS

Social Worker