EVAN DAVID WAGSTAFF LMSW
NPI 1306604392
Social Worker - Clinical in Binghamton, NY

Active since March 13, 2024
184 COURT ST, BINGHAMTON, NY 13901(607) 584-4465 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan David Wagstaff Lmsw NPPES

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

EVAN DAVID WAGSTAFF LMSW (NPI 1306604392) is an individual clinical provider in Binghamton, New York, licensed in New York (122465-01) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1306604392
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameEVAN DAVID WAGSTAFFCredential: LMSW
Location Address184 COURT STBinghamton, NY 13901-3515
Mailing Address602 Terrace RdEndwell, NY 13760-5850 · (607) 752-0181
Sole ProprietorNo
Enumeration DateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
NPI 1306604392 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 · 122465-01
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.
184 COURT ST, Binghamton, NY 13901

Other Providers at the Same Location NPPES 19

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

Social Worker (Clinical)
184 COURT ST
BINGHAMTON, NY 13901
Social Worker
184 COURT ST
BINGHAMTON, NY 13901
Social Worker
184 COURT ST
BINGHAMTON, NY 13901
Social Worker
184 COURT ST
BINGHAMTON, NY 13901
Social Worker
184 COURT ST
BINGHAMTON, NY 13901
Social Worker (Clinical)
184 COURT ST
BINGHAMTON, NY 13901
Social Worker (Clinical)
184 COURT ST
BINGHAMTON, NY 13901
Social Worker
184 COURT ST
BINGHAMTON, NY 13901

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 Evan Wagstaff's NPI number?

The NPI number for Evan Wagstaff is 1306604392. It was assigned to this individual provider in the NPPES registry on March 13, 2024.

Where is Evan Wagstaff located?

Evan Wagstaff practices at 184 Court St, Binghamton, NY 13901. The listed phone number is (607) 584-4465.

What is Evan Wagstaff'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 Evan Wagstaff was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.