ERIN MARIE WAGNER LICSW
NPI 1356909691
Social Worker - Clinical in Brookline, MA

Q: What is Erin Wagner's NPI number?

The NPI number for Erin Wagner is 1356909691. It was assigned to this individual provider in the NPPES registry on June 2, 2019.

Q: What is Erin Wagner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Erin Wagner was last updated on May 2, 2023. 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.

Active since June 02, 2019PECOS Enrolled

41 GARRISON RD, BROOKLINE, MA 02445(617) 277-8107 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 2, 2023, Aug 15, 2022, Jun 2, 2019 (3 updates tracked since 2019).

On this page

About Erin Marie Wagner Licsw NPPES

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

ERIN MARIE WAGNER LICSW (NPI 1356909691) is an individual clinical provider in Brookline, Massachusetts, licensed in Massachusetts (126421) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356909691

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameERIN MARIE WAGNERCredential: LICSW

Location Address41 GARRISON RDBrookline, MA 02445-4445

Mailing Address1626 Commonwealth Ave Apt 9Boston, MA 02135-5027 · (386) 785-9431

Phone(617) 277-8107

Sole ProprietorNo

Enumeration DateJune 2, 2019

Last NPPES UpdateMay 2, 20233 updates tracked since enumeration

NPPES CertifiedMay 2, 2023

✔ NPI 1356909691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in MA · 126421✔ Licensed in MA · 000226691

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

41 GARRISON RD, Brookline, MA 02445

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erin Marie Wagner Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Erin Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brookline Community Mental Health Center Inc.

Same address

Community/Behavioral Health

43 GARRISON RD
Brookline, MA 02445

Reassigned Medicare billing, Massachusetts enrollment
60 clinicians in this Medicare group

NPI 1881610244 (617) 277-8107

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02445 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $63.72 – $189.86

Typical copayment $0.00 (range $15.93 – $47.46)

Most-billed visit code NA

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JULIANA YOO

Student in an Organized Health Care Education/Training Program