Organization · Type 2 NPI
Wagner Medical PC
Clinical Social Worker · Boston, MA
Practice location
90 Canal St Ste 4
Boston, MA 02114-2022
Mailing address
1099 18th St Ste 2350
Denver, CO 80202-1936
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Psychologist | 103T00000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
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 1225908981
Wagner Medical PC's National Provider Identifier is 1225908981, issued on Nov 7, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Nov 7, 2025.