National Provider Identifier

Gerri Lynne Wagner, LCSW

Gerri Lynne Wagner, LCSW is listed in the NPPES registry with a primary specialty of School Counselor in Elmira, NY and a listed phone number of (607) 739-3581.

NPI 1679858161Elmira, NYSchool Counselor

Profile Overview

NPI
1679858161
Provider Type
Individual
Primary Specialty
School Counselor
Enumeration Date
October 15, 2011
Last Updated
October 15, 2011

Practice Location

  • 459 Philo Road
  • Gst Boces
  • Elmira, NY 14903

Phone: (607) 739-3581

Mailing Address

  • 6312-1 West River Road
  • Nichols, NY 13812

Specialties

  • School Counselor (101YS0200X)
Full Record
NPI
1679858161
Entity Type
Individual
Last Name
Wagner
First Name
Gerri
Middle Name
Lynne
Name Prefix
Mrs.
Credential
LCSW
Mailing Street Address
6312-1 West River Road
Mailing City
Nichols
Mailing State
NY
Mailing ZIP Code
13812
Mailing Country
US
Mailing Phone
(607) 259-1933
Practice Street Address
459 Philo Road
Practice Address Line 2
Gst Boces
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14903
Practice Country
US
Practice Phone
(607) 739-3581
Practice Fax
(607) 795-5305
Enumeration Date
October 15, 2011
Last Updated
October 15, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
School Counselor (101YS0200X)