Individual provider · Type 1 NPI

Molly Marie Wagner, LCSW

Clinical Social Worker · Erie, PA

NPI number 1225240922 Active

Practice location

1001 State St Ste 102
Erie, PA 16501-1835

Fax (814) 240-6347

Mailing address

522 W Elm St
Titusville, PA 16354-1462

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW015648 (PA)

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 1225240922

Molly Marie Wagner, LCSW's National Provider Identifier is 1225240922, issued on May 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Erie, PA. The record was last updated on Dec 17, 2019.