Individual provider · Type 1 NPI

Ginna Therese Wagner, LCSW-C

Clinical Social Worker · Baltimore, MD

NPI number 1073077210 Active

Practice location

1118 Light St Ste 200
Baltimore, MD 21230-4152

Call (667) 600-2870 Map

Fax (667) 600-4038

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X16987 (MD)

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 1073077210

Ginna Therese Wagner, LCSW-C's National Provider Identifier is 1073077210, issued on Jan 22, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baltimore, MD. The record was last updated on Jan 22, 2019.