Individual provider · Type 1 NPI

Hannah Wagner, LCSW

Clinical Social Worker · Bend, OR

NPI number 1275941502 Active

Practice location

1128 NW Harriman St
Bend, OR 97703-1947

Fax (541) 322-7565

Mailing address

2577 NE Courtney Dr
Bend, OR 97701-7752

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XNone 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 1275941502

Hannah Wagner, LCSW's National Provider Identifier is 1275941502, issued on Jul 30, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bend, OR. The record was last updated on Aug 2, 2021.