Individual provider · Type 1 NPI

Nancy Elizabeth Wagner, MSW LCSW LISAC

Clinical Social Worker · Phoenix, AZ

NPI number 1295863215 Active

Practice location

2408 E Pecos Rd
Phoenix, AZ 85048-8272

Call (480) 329-9688 Map

Fax (480) 329-9688

Mailing address

10204 Bode St Ste B
Plainfield, IL 60585-9813

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	LISAC-11062 (AZ)
Clinical Social Worker Primary	1041C0700X	LCSW-11534 (AZ)

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 1295863215

Nancy Elizabeth Wagner, MSW LCSW LISAC's National Provider Identifier is 1295863215, issued on Mar 1, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on May 18, 2021.