Individual provider · Type 1 NPI

Ann Louise Wagner, LCSW

Clinical Social Worker · San Jose, CA

NPI number 1720223704 Active

Practice location

828 S Bascom Ave, Suite 100
San Jose, CA 95128-2651

Call (408) 793-5959 Map

Fax (408) 793-5955

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X20177 (CA)

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 1720223704

Ann Louise Wagner, LCSW's National Provider Identifier is 1720223704, issued on Dec 4, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Jose, CA. The record was last updated on Dec 4, 2008.