Individual provider · Type 1 NPI

Anne Susan Wagoner-Ford, MSW, LISW

Clinical Social Worker · Albuquerque, NM

NPI number 1689962227 Active

Practice location

2600 Yale Blvd SE
Albuquerque, NM 87106-4217

Fax (505) 994-7975

Mailing address

933 Bradbury Dr SE, Suite 2222
Albuquerque, NM 87106-4374

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI-08810 (NM)
Clinical Social Worker 1041C0700XC008083 (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…

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About NPI 1689962227

Anne Susan Wagoner-Ford, MSW, LISW's National Provider Identifier is 1689962227, issued on Jul 18, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Albuquerque, NM. The record was last updated on Nov 7, 2014.