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

Samantha Wagner

Individual provider Clinical Social Worker · NPI 1669801791

Samantha Wagner is a Clinical Social Worker in Hackensack, New Jersey. Qualified in 2015, 11 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
11
Licensed in
NJ
In the registry since
2013
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Practice location Address checks out

30 Prospect Ave
Hackensack, NJ 07601-1914
Phone: (201) 527-8663
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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 44SL05714100 (NJ)

Record details

NPI number1669801791
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 8, 2013
Last updated in NPPESApril 26, 2017
Mailing address30 Prospect Ave, Hackensack, NJ 07601-1914

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 Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hackensack