Individual provider · Type 1 NPI

Sara Ellen Wagner, LICSW

Clinical Social Worker · St. Louis Park, MN

NPI number 1912734245 Active

Practice location

3525 Monterey Dr
St. Louis Park, MN 55416-5275

Call (952) 993-6200 Map

Fax (952) 993-5631

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • 4801 Veterans Dr, St. Cloud, MN 56303-2015 · (320) 255-6322

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X31139 (MN)

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 1912734245

Sara Ellen Wagner, LICSW's National Provider Identifier is 1912734245, issued on Sep 19, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis Park, MN. The record was last updated on Jun 11, 2025.