Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Edward Wagner, LSW

Individual provider Social Worker · NPI 1649813973

John Edward Wagner, LSW is a Clinical Social Worker in Clifton, New Jersey. Qualified in 2015, 11 years ago. Practices with Psychiatry on Video LLC, a 6-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
11
Licensed in
NJ
In the registry since
2019
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

53 Orchard St
Clifton, NJ 07013-1832
Phone: (973) 773-7600
Fax: (973) 773-7011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 44SL06420400 (NJ)

Record details

NPI number1649813973
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorYes
NPI enumeratedOctober 18, 2019
Last updated in NPPESOctober 18, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Psychiatry On Video Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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