Individual provider · Type 1 NPI

Denette Ann Wagner, LICSW

Clinical Social Worker · Shelton, WA

NPI number 1548050156 Active

Practice location

2321 W Dayton Airport Rd
Shelton, WA 98584-6319

Mailing address

7345 Linderson Way SW
Tumwater, WA 98501-6504

Other practice locations

  • 7345 Linderson Way SW, Tumwater, WA 98501-6504 · (360) 725-8213

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW61281864 (WA)

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 1548050156

Denette Ann Wagner, LICSW's National Provider Identifier is 1548050156, issued on May 7, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shelton, WA. The record was last updated on May 7, 2025.