MS. SUSAN BANDLER WAGNER (NPI# 1700901568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700901568 |
| Entity Type | Individual |
| Full Name | MS. SUSAN BANDLER WAGNER |
| Other Name | SUSAN BANDLER WAGNER |
| Credential | LICSW |
| Practice Address |
23 West Street Newfane VT 05345 |
| Mailing Address |
Po Box 344 Newfane VT 05345-0344 |
| Practice Telephone | 8023659115 |
| Mailing Telephone | 8023659115 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2014-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
089-0000330 | VT | Behavioral Health & Social Service Providers |
| Street Address |
23 WEST STREET |
| City | NEWFANE |
| State | VT |
| Zip Code | 05345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760570113 | James Carew | Social Worker | 23 West Street, C/o Moore Free Library, Newfane, VT 05345 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841566296 | Elizabeth A Bianchi | Social Worker | 708 Route 30, Newfane, VT 05345 | 2012-03-30 |
| 1023338936 | Kelly Ann Wicker | Counselor | 550 Rt. 30, Newfane, VT 05345 | 2010-06-03 |
| 1467670950 | Teri M Brooks | Psychologist | 36 Upper River Road, Newfane, VT 05345 | 2007-04-23 |
| 1477634434 | Charles Dwight Decker | Dentist | 36 Park Place, Brattleboro, VT 05345 | 2006-10-18 |
| 1952338097 | Thomas Hersh | Psychologist | 83 Radway Hill Rd., Newfane, VT 05345 | 2006-06-26 |
| 1851924948 | Julia Stifler | Counselor | 708 Route 30, Newfane, VT 05345 | 2020-02-17 |
| 1356904817 | Kara Dibble | Social Worker | 708 Route 30, Newfane, VT 05345 | 2019-04-19 |
| 1013319474 | Stephen Agin | Durable Medical Equipment & Medical Supplies | 961 Rt 20, Newfane, VT 05345-0124 | 2014-09-17 |
| 1710063896 | Ingrid Scholz Longo | Social Worker | 36 Back St, Newfane, VT 05345-9523 | 2006-10-31 |
| 1932404266 | Ingrid S. Longo, PC | Social Worker | 36 Back St, Newfane, VT 05345-9523 | 2011-01-18 |
| Find all providers in zip 05345 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841566296 | Elizabeth A Bianchi | Social Worker | 708 Route 30, Newfane, VT 05345 | 2012-03-30 |
| 1558409573 | Lisa Sherwood | Social Worker | 2800 Brown Rd, Newfane, NY 14108-9713 | 2007-02-02 |
| 1710063896 | Ingrid Scholz Longo | Social Worker | 36 Back St, Newfane, VT 05345-9523 | 2006-10-31 |
| 1760570113 | James Carew | Social Worker | 23 West Street, C/o Moore Free Library, Newfane, VT 05345 | 2006-10-11 |
| 1932404266 | Ingrid S. Longo, PC | Social Worker | 36 Back St, Newfane, VT 05345-9523 | 2011-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407042 | Katharine Giguere Morris | Social Worker | 358 Bailey Rd, Northfield, VT 05663-6078 | 2020-11-05 |
| 1548874555 | Bryan Wilkinson | Social Worker | 123 Meadow Dr, Colchester, VT 05446-6422 | 2020-09-08 |
| 1871110940 | Hope and Resilience Therapy, LLC | Social Worker | 12 River St Unit 103, Milton, VT 05468-3628 | 2020-07-06 |
| 1346866001 | Timothy Ricciardello | Social Worker | 2948 E Hill Rd, Wolcott, VT 05680-4097 | 2020-06-18 |
| 1376167528 | Diana Keenan | Social Worker | 125 Saint Paul St Ste 106, Burlington, VT 05401-8462 | 2020-06-03 |
| 1073133831 | Gwynn Yandow | Social Worker | 21 Robin Way, Brattleboro, VT 05301-4277 | 2020-04-22 |
| 1891324638 | Christin Guilder | Social Worker | 358 Dupre Dr, Guilford, VT 05301-8795 | 2020-04-03 |
| 1538798491 | Earthside Counseling, LLC | Social Worker | 337 College St Ste 201, Burlington, VT 05401-8344 | 2020-04-03 |
| 1740812239 | Meri Stiles | Social Worker | 172 Pleasant St, Saint Johnsbury, VT 05819-1425 | 2020-02-12 |
| 1881225258 | Ellen Repstad | Social Worker | 312 Rockydale Rd, Bristol, VT 05443-5247 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.