Individual provider · Type 1 NPI

Theressa Marie Wagner, MSW LCSW

Clinical Social Worker · Centreville, MI

NPI number 1326196759 Active

Practice location

677A East Main
Centreville, MI 49032

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801078479 (MI)

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 1326196759

Theressa Marie Wagner, MSW LCSW's National Provider Identifier is 1326196759, issued on Jan 8, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Centreville, MI. The record was last updated on Jul 17, 2009.