Individual provider · Type 1 NPI

Patrick Joseph Wagner, LCSW

Clinical Social Worker · Louisville, KY

NPI number 1053680082 Active

Practice location

1015 Dorsey Ln
Louisville, KY 40223-2612

Call (502) 245-1576 Map

Fax (502) 245-8973

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3950 (KY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1053680082

Patrick Joseph Wagner, LCSW's National Provider Identifier is 1053680082, issued on Dec 20, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on Feb 5, 2024.