Individual provider · Type 1 NPI
Lynnette Yvonne Wagner, LICSW
Clinical Social Worker · Brainerd, MN
Practice location
18101 Hartley Dr
Brainerd, MN 56401-7915
Fax (218) 828-4611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 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 1295992907
Lynnette Yvonne Wagner, LICSW's National Provider Identifier is 1295992907, issued on May 20, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brainerd, MN. The record was last updated on Oct 4, 2017.