IndividualActive
Evan Wagstaff, LMSW
NPI 1306604392 · Clinical Social Worker · Binghamton, NY
Provider details
- NPI number
- 1306604392
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- No
- License
- 122465-01 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES 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
184 Court St
Binghamton, NY 13901-3515
Phone: (607) 584-4465
Street-level locationGet directions
Mailing address
602 Terrace Rd
Endwell, NY 13760-5850
Registry dates
- Enumerated
- 2024-03-13
- Last updated
- 2024-03-13
- Certified
- 2024-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.