Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SUSAN BANDLER WAGNER, LICSW
Active Sole ProprietorMS. SUSAN BANDLER WAGNER, LICSW is a Clinical Social Worker healthcare provider located in NEWFANE, Vermont. NPI 1700901568 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · NEWFANE, VT
Registration Details
- NPI Number
- 1700901568
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2007 (19.228755216418 yrs)
- Last Updated
- Jul 31, 2014
- License
-
089-0000330 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23 WEST STREETNEWFANE, VT, 05345Browse VT providers · Browse ZIP 05345
- Phone
- 8023659115
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in NEWFANE, VT
| Name | Credential | NPI |
|---|---|---|
| INGRID SCHOLZ LONGO | LICSW | 1710063896 |
| ELIZABETH A BIANCHI | LICSW | 1841566296 |
| KARA DIBBLE | MSW LMSW | 1356904817 |
| JULIA STIFLER | MSW, MS, LICSW | 1851924948 |
| JOSHUA DIGIOVANNA | MSW LICSW | 1497453989 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.