Individual provider · Type 1 NPI

Susan Bandler Wagner, LICSW

Clinical Social Worker · Newfane, VT

NPI number 1700901568 Active

Practice location

23 West Street
Newfane, VT 05345

Mailing address

PO Box 344
Newfane, VT 05345-0344

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X089-0000330 (VT)

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 1700901568

Susan Bandler Wagner, LICSW's National Provider Identifier is 1700901568, issued on Mar 20, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newfane, VT. The record was last updated on Jul 31, 2014.