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SCOTT D WAGNER I
NPI 1871113316
Counselor in Fairfield, CA

Active since April 24, 2020
319 E TABOR AVE APT 15319, FAIRFIELD, CA 94533(510) 372-3757 Get Directions Write a Review

NPPES record last updated: April 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott D Wagner I NPPES

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

SCOTT D WAGNER I (NPI 1871113316) is an individual counselor in Fairfield, California and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1871113316
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameSCOTT D WAGNER I
Location Address319 E TABOR AVE APT 15319Fairfield, CA 94533-3955
Mailing Address319 E Tabor Ave Apt 15319Fairfield, CA 94533-3955 · (510) 372-3757
Phone(510) 372-3757
Sole ProprietorNo
Enumeration DateApril 24, 2020
NPPES CertifiedApril 24, 2020
✔ NPI 1871113316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
319 E TABOR AVE APT 15319, Fairfield, CA 94533
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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 Scott Wagner's NPI number?

The NPI number for Scott Wagner is 1871113316. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Scott Wagner located?

Scott Wagner practices at 319 E Tabor Ave Apt 15319, Fairfield, CA 94533. The listed phone number is (510) 372-3757.

What is Scott Wagner's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Scott Wagner was last updated on April 24, 2020. 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.