Individual provider · Type 1 NPI

Michele Suzanne Wagner, CSW

Clinical Social Worker · Atlanta, GA

NPI number 1083908735 Active

Practice location

2900 Chamblee Tucker Rd, Bld 8, Ste 301
Atlanta, GA 30341-4100

Call (678) 824-6590 Map

Fax (678) 824-6597

Mailing address

8075 Mall Pkwy, Ste 101-348
Lithonia, GA 30038-6993

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW004260 (GA)

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 1083908735

Michele Suzanne Wagner, CSW's National Provider Identifier is 1083908735, issued on May 30, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Atlanta, GA. The record was last updated on May 30, 2011.