National Provider Identifier
Shannon Wagner, LCSW
Shannon Wagner, LCSW is listed in the NPPES registry with a primary specialty of Social Worker in Schenectady, NY and a listed phone number of (518) 346-1285.
Source: public NPPES record, last updated March 03, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1013680545
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- July 30, 2021
- Last Updated
- March 03, 2025
Practice Location
- 1 Genium Plz
- Schenectady, NY 12304-4607
Phone: (518) 346-1285
Mailing Address
- 10 Vernon Blvd
- Scotia, NY 12302-2606
Specialties
- Social Worker (104100000X)
- Clinical Social Worker (1041C0700X)
Endpoints
- Schenectady
Connect Url | Schenectady, NY 12304
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Biography
Shannon K. Wagner is a New York licensed clinical social worker in the Schenectady area. The New York Office of the Professions lists her clinical social work registration as active through January 2028 and shows prior New York licensure as a Licensed Master Social Worker, first issued in 2019, before her LCSW licensure in 2025.
Full Record
- NPI
- 1013680545
- Entity Type
- Individual
- Last Name
- Wagner
- First Name
- Shannon
- Credential
- LCSW
- Mailing Street Address
- 10 Vernon Blvd
- Mailing City
- Scotia
- Mailing State
- NY
- Mailing ZIP Code
- 12302-2606
- Mailing Country
- US
- Practice Street Address
- 1 Genium Plz
- Practice City
- Schenectady
- Practice State
- NY
- Practice ZIP Code
- 12304-4607
- Practice Country
- US
- Practice Phone
- (518) 346-1285
- Enumeration Date
- July 30, 2021
- Last Updated
- March 03, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 03, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X), Clinical Social Worker (1041C0700X)