Individual provider · Type 1 NPI
Ivy Christine Wagner, DBH, LCSW
Clinical Social Worker · Bandon, OR
Practice location
780 2nd St SE Ste 10
Bandon, OR 97411-8354
Mailing address
790 Bluff Ave SW
Bandon, OR 97411-9614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | L11519 (OR) |
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…
Other clinical social worker providers in Bandon
About NPI 1346754702
Ivy Christine Wagner, DBH, LCSW's National Provider Identifier is 1346754702, issued on Nov 21, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bandon, OR. The record was last updated on Aug 16, 2024.