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

MS. Carol Theresa Wagner, LCSW

Individual provider Mental Health Counselor · NPI 1760537062

MS. Carol Theresa Wagner, LCSW is a Clinical Social Worker in Bronx, New York. Qualified in 1982, 44 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
44
Licensed in
NY
In the registry since
2007
Specialties on file
7
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2780 Schurz Ave
Bronx, NY 10465-3234
Phone: (718) 863-9134
Fax: (718) 863-6125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence PR029268-1 (NY)
Mental Health Counselor Taxonomy 101YM0800X
Pastoral Counselor Taxonomy 101YP1600X
School Counselor Taxonomy 101YS0200X
Social Worker Taxonomy 104100000X
School Social Worker Taxonomy 1041S0200X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1760537062
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 24, 2007
Last updated in NPPESAugust 6, 2010

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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