1. Home
  2. Directory
  3. New York
  4. Victor
  5. Social Worker
  6. NPI Profile

BROOKE LEIGH WAGNER LCSW
NPI 1265154454
Social Worker - Clinical in Victor, NY

Active since September 14, 2022
6539 ANTHONY DR STE A, VICTOR, NY 14564(585) 398-8835 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brooke Leigh Wagner Lcsw NPPES

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

BROOKE LEIGH WAGNER LCSW (NPI 1265154454) is an individual clinical provider in Victor, New York, licensed in New York (093973-01) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1265154454
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBROOKE LEIGH WAGNERCredential: LCSW
Location Address6539 ANTHONY DR STE AVictor, NY 14564-1441
Mailing Address2012 Rainbow LnLima, NY 14485-9453
Phone(585) 398-8835
Sole ProprietorYes
Enumeration DateSeptember 14, 2022
NPPES CertifiedSeptember 12, 2022
✔ NPI 1265154454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 093973-01
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.
6539 ANTHONY DR STE A, Victor, NY 14564
Open in Google Maps ↗

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.

DR. SUZANNE MICHELE BAMONTO PH.D.
Psychologist
6539 ANTHONY DR STE A
VICTOR, NY 14564
Ontario County (585) 398-8835
JENNIFER BAIR LCSW
Social Worker (Clinical)
6539 ANTHONY DR STE A
VICTOR, NY 14564
Ontario County (585) 398-8835
KIRSTEN DIEDRE ANN JEFFERS LCSW
Social Worker
6539 ANTHONY DR STE A
VICTOR, NY 14564
Ontario County (585) 398-8835
ANNMARIE KATHLEEN WEBER LMSW
Social Worker (Clinical)
6539 ANTHONY DR STE A
VICTOR, NY 14564
Ontario County (585) 398-8835
KAITLYN COON LMSW
Social Worker (Clinical)
6539 ANTHONY DR STE A
VICTOR, NY 14564
Ontario County (585) 398-8835
STEPHANIE DUBINA PSY.D.
Psychologist (Clinical)
6539 ANTHONY DR STE A
VICTOR, NY 14564
Ontario County (585) 398-8835
ELSBETH EBENHOE LCSW
Community/Behavioral Health
6539 ANTHONY DR STE A
VICTOR, NY 14564
Ontario County (585) 398-8835
LINDA HARRIS, LCSW- R
Community/Behavioral Health
6539 ANTHONY DR STE A
VICTOR, NY 14564
Ontario County (585) 398-8835

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 Brooke Wagner's NPI number?

The NPI number for Brooke Wagner is 1265154454. It was assigned to this individual provider in the NPPES registry on September 14, 2022.

Where is Brooke Wagner located?

Brooke Wagner practices at 6539 Anthony Dr Ste A, Victor, NY 14564. The listed phone number is (585) 398-8835.

What is Brooke Wagner'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 Brooke Wagner was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.