Individual provider · Type 1 NPI

Alexandra Marian Wagner, LCSW

Clinical Social Worker · Los Angeles, CA

NPI number 1295866838 Active

Practice location

11301 Wilshire Blvd, Bldg 500
Los Angeles, CA 90073-1003

Mailing address

11301 Wilshire Blvd Bldg 500
Los Angeles, CA 90073-1003

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X21954 (CA)
Clinical Social Worker Primary 1041C0700X28162 (CA)

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 1295866838

Alexandra Marian Wagner, LCSW's National Provider Identifier is 1295866838, issued on Mar 7, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 14, 2024.