Bonnie Lynne Wagner in Placerville - Clinical
Bonnie Lynne Wagner - NPI 1477740876
Bonnie Lynne Wagner is a Clinical in Placerville, California. Bonnie Lynne Wagner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bonnie Lynne Wagner is 1477740876. The last update date is 2007-09-28.
Bonnie Lynne Wagner's current location address is 6765 Green Valley Rd, Placerville, California. You can contact this provider via phone number 5306225551 and fax number 5306225800. The mailing address for Bonnie Lynne Wagner is 6765 Green Valley Rd, Placerville, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bonnie Lynne Wagner |
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Address | 6765 Green Valley Rd, Placerville, California |
Phone Number | 5306225551 |
Fax Number | 5306225800 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1477740876 |
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Provider Enumeration Date | 2007-09-28 |
Last Updated Date | 2007-09-28 |
Provider Mailing Address Detail
Address | 6765 Green Valley Rd |
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City | Placerville |
State | California (CA) |
Post Code | 956678984 |
Phone Number | 5306225551 |
Fax Number | 5306225800 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCSW20649 |
Definition: 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, certif |
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What is the unique 10-digit identification code issued to Bonnie Lynne Wagner by the Centers for Medicare & Medicaid Services?
The Bonnie Lynne Wagner has been assigned the NPI (National Provider Identifier) 1477740876 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Bonnie Lynne Wagner's facilities are situated?
The facilities of Bonnie Lynne Wagner are physically located at the following address: 6765 Green Valley Rd, Placerville, CA, 956678984.
What is Bonnie Lynne Wagner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bonnie Lynne Wagner is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date was the 1477740876 assigned to Bonnie Lynne Wagner?
The Bonnie Lynne Wagner was issued its 1477740876 on 2007-09-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Bonnie Lynne Wagner most recently updated or revised?
The information pertaining to Bonnie Lynne Wagner, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-28.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY