JOHN EDWARD WAGNER LSW
NPI 1649813973
Social Worker in Clifton, NJ

Q: What is John Wagner's NPI number?

The NPI number for John Wagner is 1649813973. It was assigned to this individual provider in the NPPES registry on October 18, 2019.

Q: What is John 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 John Wagner was last updated on October 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 18, 2019PECOS EnrolledAccepts Medicare Assignment

53 ORCHARD ST, CLIFTON, NJ 07013(973) 773-7600(973) 773-7011 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About John Edward Wagner Lsw NPPES

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

JOHN EDWARD WAGNER LSW (NPI 1649813973) is an individual social worker in Clifton, New Jersey, licensed in New Jersey (44SL06420400) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1649813973

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameJOHN EDWARD WAGNERCredential: LSW

Location Address53 ORCHARD STClifton, NJ 07013-1832

Mailing Address53 Orchard StClifton, NJ 07013-1832 · (973) 773-7600 · Fax (973) 773-7011

Phone(973) 773-7600

Fax(973) 773-7011

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 18, 2019

✔ NPI 1649813973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NJ · 44SL06420400

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.

53 ORCHARD ST, Clifton, NJ 07013

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Edward Wagner Lsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012364698

PECOS Enrollment IDI20231104000127

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.

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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.

ANGELA GRACEFFO LCSW

Social Worker (Clinical)