Individual provider · Type 1 NPI

Maci Wageman, LCSW

Clinical Social Worker · Grants Pass, OR

NPI number 1801347612 Active

Practice location

1545 Harbeck Rd
Grants Pass, OR 97527-5605

Call (541) 476-2373 Map

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL10399 (OR)

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 1801347612

Maci Wageman, LCSW's National Provider Identifier is 1801347612, issued on Oct 17, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grants Pass, OR. The record was last updated on Sep 28, 2026.