Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1922495654 Deactivated / Inactive NPI Male Practitioner

Joel A Wagner , LMSW

Social Worker • Syracuse, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Joel Wagner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 21, 2015
NPI Deactivation Date December 06, 2022
Total Practice Duration ~7 Years of Practice (2015 – 2022)

Professional Overview & Biography Verified Profile Summary

Joel Wagner, LMSW was a registered Social Worker practicing in Syracuse, NY. Throughout an active medical career spanning 7 years, Joel Wagner provided care at the practice location at 620 ERIE BLVD W until profile deactivation on 2022-12-06.

Practice Location & Contact Primary Location

Practice Address

620 Erie Blvd W
Suite 208

Syracuse, NY 132042445

Telephone 3154727363
Fax 3157012368
Associated Practice Facility / Clinic
🏢 Buffalo Vamc Facility NPI 1477951077

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Syracuse, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
370 Specialists

Practicing in Syracuse, NY (23970 Statewide)

Telehealth Adoption Rate
1.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NY 058287

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners
Sarah Houston , LMHC

Counselor - Mental Health

NPI 1003294356

Licensed Mental Health Counselor

Dr. Ashley Price , DNP PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033775408

DNPPMHNP

Erin Bond , CASAC- T

Counselor - Addiction (Substance Use Disorder)

NPI 1043136971

CASACT

NPI 1043589385

Licensed Master Social Worker

Billy Manuel , NURSE PRACTITIONER

Nurse Practitioner - Psychiatric/Mental Health

NPI 1093293383

NURSEPRACTITIONER

Sara Paolini , LCSW

Social Worker - Clinical

NPI 1114202298

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated December 06, 2022

Record deactivated on December 06, 2022

NPI Profile Active April 29, 2015

NPI status registered as active in NPPES database

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Updated Practice Location April 29, 2015

Registered at 620 ERIE BLVD W, SUITE 208, SYRACUSE, NY 132042445 (Tel: 3154727363)

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Updated Business Mailing Address April 29, 2015

Registered at 620 ERIE BLVD W, SUITE 208, SYRACUSE, NY 132042445 (Tel: 3154727363)

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Provider Name / Credentials Updated April 29, 2015

Recorded as JOEL WAGNER, LMSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2015

Social Worker (License #058287 in NY)

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Initial NPI Registration & Enumeration April 21, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922495654
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2015
Last Update: April 29, 2015
Deactivation Date: December 06, 2022

Mailing Address

620 Erie Blvd W, Suite 208

Syracuse, NY 132042445

Phone: 3154727363

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.