Individual provider · Type 1 NPI
Jerry Main Wagner
Clinical Social Worker · Union Mills, NC
Practice location
1494 Camp Creek Rd
Union Mills, NC 28167-7900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | C018630 (NC) |
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…
About NPI 1346995008
Jerry Main Wagner's National Provider Identifier is 1346995008, issued on Feb 21, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Union Mills, NC. The record was last updated on Jun 25, 2025.