National Provider Identifier
Sarah Lane Wagner, LCSW
Sarah Lane Wagner, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 893-1010.
Profile Overview
- NPI
- 1588081707
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- March 26, 2014
- Last Updated
- October 15, 2021
Practice Location
- 40 La Riviere Dr
- Buffalo, NY 14202-4344
Phone: (716) 893-1010
Mailing Address
- 4479 Lawson RD
- Jamestown, NY 14701-9455
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1588081707
- Entity Type
- Individual
- Last Name
- Wagner
- First Name
- Sarah
- Middle Name
- Lane
- Credential
- LCSW
- Provider Other Last Name
- Currie
- Provider Other First Name
- Sarah
- Provider Other Middle Name
- Lane
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 4479 Lawson RD
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-9455
- Mailing Country
- US
- Mailing Phone
- (814) 688-8057
- Practice Street Address
- 40 La Riviere Dr
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-4344
- Practice Country
- US
- Practice Phone
- (716) 893-1010
- Practice Fax
- (716) 893-1002
- Enumeration Date
- March 26, 2014
- Last Updated
- October 15, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 15, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)