Individual provider · Type 1 NPI

Licia Maria Thomas-Wagoner, LCSW

Clinical Social Worker · North Chesterfield, VA

NPI number 1750553384 Active

Practice location

9409 Hull Street Rd, Suite D1
North Chesterfield, VA 23236-1200

Call (804) 745-2225 Map

Fax (804) 745-2242

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904006772 (VA)

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 1750553384

Licia Maria Thomas-Wagoner, LCSW's National Provider Identifier is 1750553384, issued on Mar 24, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in North Chesterfield, VA. The record was last updated on Nov 12, 2013.