Individual provider · Type 1 NPI
Janice K. Wagner, LICSW
Clinical Social Worker · Boston, MA
Practice location
147 Milk St
Boston, MA 02109-4806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 105968 (MA) |
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 1497779466
Janice K. Wagner, LICSW's National Provider Identifier is 1497779466, issued on Jul 26, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Apr 8, 2009.