Individual provider · Type 1 NPI

Evan David Wagstaff, LMSW

Clinical Social Worker · Binghamton, NY

NPI number 1306604392 Active

Practice location

184 Court St
Binghamton, NY 13901-3515

Call (607) 584-4465 Map

Mailing address

602 Terrace Rd
Endwell, NY 13760-5850

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X122465-01 (NY)

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 1306604392

Evan David Wagstaff, LMSW's National Provider Identifier is 1306604392, issued on Mar 13, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Binghamton, NY. The record was last updated on Mar 13, 2024.