Individual provider · Type 1 NPI

Debra Smith Wagner, MSW

Clinical Social Worker · Minneapolis, MN

NPI number 1063446409 Active

Practice location

Minneapolis VAMC-122, One Veterans Drive
Minneapolis, MN 55417

Call (612) 725-2042 Map

Fax (612) 725-2126

Mailing address

12918 Hamlet Ave
Apple Valley, MN 55124-9730

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X14470 (MN)

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 1063446409

Debra Smith Wagner, MSW's National Provider Identifier is 1063446409, issued on Jul 10, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 8, 2007.