MEDICARE: REBECCA DEHAVEN WAGNER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CW015321	PA

General Provider Information

NPI Number	:	1184672552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA DEHAVEN WAGNER LCSW

Provider Business Mailing Address
First Line	:	4284 WILLIAM FLYNN HWY STE 206
Second Line	:
City	:	ALLISON PARK
State	:	PA
Zip	:	15101-1440
Country	:	US
Telephone Number	:	412-495-2890
Fax Number	:

Provider Business Practice Location Address
First Line	:	4284 WILLIAM FLYNN HWY STE 206
Second Line	:
City	:	ALLISON PARK
State	:	PA
Zip	:	15101-1440
Country	:	US
Telephone Number	:	412-495-2890
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	09/02/2025

Similar Medicare Providers

1831178680 — DR. NANCY MRAMOR
Practice Location Address:

4284 WILLIAM FLYNN HWY STE 206
ALLISON PARK, PA
15101-1440

Practice Phone: 412-445-5352
Practice Fax:

1083670608 — BERNADETTE C CONNOR PHD
Practice Location Address:

4284 WILLIAM FLYNN HWY , STE 211
ALLISON PARK, PA
15101-1440

Practice Phone: 412-486-2400
Practice Fax: 412-486-2411

1073637294 — MS. ILDIKO A SHAFFER LPC
Practice Location Address:

4284 WILLIAM FLYNN HWY STE 209
ALLISON PARK, PA
15101-1440

Practice Phone: 724-679-4599
Practice Fax:

1578789574 — TRANSFORMEDIA LLC
Practice Location Address:

4284 WILLIAM FLYNN HWY STE 206
ALLISON PARK, PA
15101-1440

Practice Phone: 412-445-5352
Practice Fax:

1114123668 — TRANSFORMEDIA LLC
Practice Location Address:

4284 WILLIAM FLYNN HWY STE 206
ALLISON PARK, PA
15101-1440

Practice Phone: 412-445-5352
Practice Fax:

1356888630 — BENJAMIN HEARN MA, PHD, LPC
Practice Location Address:

4284 WILLIAM FLYNN HWY STE 304
ALLISON PARK, PA
15101-1440

Practice Phone: 412-245-7104
Practice Fax:

Directions to “ REBECCA DEHAVEN WAGNER LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.