Individual provider · Type 1 NPI

Diane Wagner, LISW

Clinical Social Worker · Albuquerque, NM

NPI number 1083777148 Active

Practice location

5100 2nd St NW
Albuquerque, NM 87107-4009

Call (505) 761-6600 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI-04793 (NM)

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 1083777148

Diane Wagner, LISW's National Provider Identifier is 1083777148, issued on Dec 19, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 8, 2007.