Wagner Medical PC
NPI 1225908981 · Clinical Social Worker · Boston, MA
Wagner Medical PC is a Clinical Social Worker organization in Boston, MA (NPI 1225908981).
Provider details
- NPI number
- 1225908981
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tanya Roach, Chief Credentialing Admin Officer(970) 329-7161
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-11-07
- Last updated
- 2025-11-07
- Certified
- 2025-11-07
Frequently asked questions
- What is Wagner Medical PC's NPI number?
- Wagner Medical PC's National Provider Identifier (NPI) is 1225908981, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wagner Medical PC?
- Wagner Medical PC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Wagner Medical PC located?
- Wagner Medical PC's practice location on file with NPPES is 90 Canal St Ste 4, Boston, MA 02114-2022.
- What is Wagner Medical PC's phone number?
- The practice phone number listed in the NPPES registry for Wagner Medical PC is (844) 843-7279.
- Who is the authorized official for Wagner Medical PC?
- The authorized official listed on Wagner Medical PC's NPPES record is Tanya Roach, Chief Credentialing Admin Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wagner Medical PC's NPI active?
- Yes — Wagner Medical PC's NPI (1225908981) is active in the NPPES registry as of the last update on 2025-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.