Individual provider · Type 1 NPI

Kelly Marie Wagner, LCSW

Clinical Social Worker · Erie, PA

NPI number 1992464465 Active

Practice location

1932 Brooksboro Dr
Erie, PA 16510-3872

Other practice locations

  • 77 Central Ave Ste D, Asheville, NC 28801-4256 · (828) 333-9320

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC018909 (NC)

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 1992464465

Kelly Marie Wagner, LCSW's National Provider Identifier is 1992464465, issued on Dec 13, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Erie, PA. The record was last updated on Dec 2, 2025.