Individual provider · Type 1 NPI

Candace Jean Neis-Wagner, LCSW

Clinical Social Worker · Wauwatosa, WI

NPI number 1114240579 Active

Practice location

3040 N 117th St Ste 100
Wauwatosa, WI 53222-4128

Fax (414) 479-0230

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X7566-123 (WI)

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 1114240579

Candace Jean Neis-Wagner, LCSW's National Provider Identifier is 1114240579, issued on Mar 12, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wauwatosa, WI. The record was last updated on Oct 31, 2023.