Individual provider · Type 1 NPI

Janet Annice Wagstaff

Clinical Social Worker · Sacramento, CA

NPI number 1104591379 Active

Practice location

2315 Stockton Blvd # 1
Sacramento, CA 95817-2201

Call (916) 734-2011 Map

Mailing address

564 Villanova Dr
Davis, CA 95616-1860

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	LCSW101794 (CA)

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 1104591379

Janet Annice Wagstaff's National Provider Identifier is 1104591379, issued on Aug 10, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sacramento, CA. The record was last updated on Aug 10, 2021.