Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1235311275 Deactivated / Inactive NPI Male Practitioner

John F. Wagner , LISW

Social Worker - Clinical • Pepper Pike, OH

⚠️

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, John Wagner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 01, 2007
NPI Deactivation Date February 28, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

John Wagner, LISW was a registered Social Worker - Clinical practicing in Pepper Pike, OH. Throughout an active medical career spanning 15 years, John Wagner provided care at the practice location at 30800 CHAGRIN BLVD until profile deactivation on 2022-02-28.

Practice Location & Contact Primary Location

Practice Address

30800 Chagrin Blvd

Pepper Pike, OH 441245925

Telephone 2165910324
Fax 2165911243
Associated Practice Facility / Clinic
🏢 New Directions, Inc. Facility NPI 1013097542

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Pepper Pike, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
101 Specialists

Practicing in Pepper Pike, OH (10077 Statewide)

Telehealth Adoption Rate
4.0% 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 - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License OH I.1925

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Joseph Tadiello , LCDC III

Counselor - Addiction (Substance Use Disorder)

NPI 1013170364

LCDCIII

Burley Manson , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1043602048

Chemical Dependency Counselor Assistant

Scott Inman

Community/Behavioral Health

NPI 1043883358
Brittany Mylant

Behavior Technician

NPI 1043954134
Cameron Murphy

Community/Behavioral Health

NPI 1053048744
Susan Tager , LSW

Social Worker

NPI 1053598623

Licensed Social Worker

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated February 28, 2022

Record deactivated on February 28, 2022

NPI Profile Active December 01, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2007

Registered at 30800 CHAGRIN BLVD, PEPPER PIKE, OH 441245925 (Tel: 2165910324)

📍
Updated Business Mailing Address December 01, 2007

Registered at 30800 CHAGRIN BLVD, PEPPER PIKE, OH 441245925 (Tel: 2165910324)

👤
Provider Name / Credentials Updated December 01, 2007

Recorded as JOHN WAGNER, LISW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2007

Social Worker (License #I.1925 in OH)

🟢
Initial NPI Registration & Enumeration December 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for John Wagner. Be the first to share your experience!

Sign in to leave a review for John Wagner

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1235311275
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2007
Last Update: December 01, 2007
Deactivation Date: February 28, 2022

Mailing Address

30800 Chagrin Blvd

Pepper Pike, OH 441245925

Phone: 2165910324

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.