1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Social Worker
  6. NPI Profile

WAGNER MEDICAL PC
NPI 1225908981
Social Worker - Clinical in Boston, MA

Active since November 07, 2025
90 CANAL ST STE 4, BOSTON, MA 02114(844) 843-7279 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wagner Medical Pc NPPES

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

WAGNER MEDICAL PC (NPI 1225908981) is a healthcare organization registered as a clinical in Boston, Massachusetts and active in the NPI registry since November 2025. The organization lists Tanya Roach, Chief Credentialing Admin Officer, as its authorized official.

NPPES Registry Identity

NPI1225908981
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWAGNER MEDICAL PC
Location Address90 CANAL ST STE 4Boston, MA 02114-2022
Mailing Address1099 18th St Ste 2350Denver, CO 80202-1936
Phone(844) 843-7279
Organization SubpartNo
Authorized OfficialTanya RoachChief Credentialing Admin Officer · (970) 329-7161
Enumeration DateNovember 7, 2025
NPPES CertifiedNovember 7, 2025
✔ NPI 1225908981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
90 CANAL ST STE 4, Boston, MA 02114
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

LESLEY GARCIA
Behavior Technician
90 CANAL ST STE 4
BOSTON, MA 02114
Suffolk County (888) 922-2843
JEFFREY BURKE
Behavior Technician
90 CANAL ST STE 4
BOSTON, MA 02114
Suffolk County (888) 922-2843
JENNIFER ZIOMARA RAMIREZ
Behavior Technician
90 CANAL ST STE 4
BOSTON, MA 02114
Suffolk County (888) 922-2843
MARLON FRANCOIS
Behavior Technician
90 CANAL ST STE 4
BOSTON, MA 02114
Suffolk County (888) 922-2843
KELLEY M DALEY
Behavior Technician
90 CANAL ST STE 4
BOSTON, MA 02114
Suffolk County (888) 922-2843
STEPHANIE BADIO
Counselor (Addiction (Substance Use Disorder))
90 CANAL ST STE 4
BOSTON, MA 02114
Suffolk County (888) 922-2843
EASTERN COUNSELING AND WELLNESS
Social Worker (Clinical)
90 CANAL ST STE 4
BOSTON, MA 02114
Suffolk County (617) 517-4889
CATALINA GOODMAN MCCARTER
Behavior Technician
90 CANAL ST STE 4
BOSTON, MA 02114
Suffolk County (888) 922-2843

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wagner Medical PC's NPI number?

The NPI number for Wagner Medical PC is 1225908981. It was assigned to this organization in the NPPES registry on November 7, 2025.

Where is Wagner Medical PC located?

Wagner Medical PC is located at 90 Canal St Ste 4, Boston, MA 02114. The listed phone number is (844) 843-7279.

What is Wagner Medical PC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Wagner Medical PC was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.