Individual provider · Type 1 NPI
Anne Susan Wagoner-Ford, MSW, LISW
Clinical Social Worker · Albuquerque, NM
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
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | I-08810 (NM) |
| Clinical Social Worker | 1041C0700X | C008083 (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.