Individual provider · Type 1 NPI

Tara Jo Wagner, LCSW

Clinical Social Worker · Evansville, IN

NPI number 1598088973 Active

Practice location

5905 Berry Ln
Evansville, IN 47710-4377

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34007711A (IN)

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 1598088973

Tara Jo Wagner, LCSW's National Provider Identifier is 1598088973, issued on Mar 12, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evansville, IN. The record was last updated on Mar 29, 2022.