Kristin Michelle Wagner in Oakland - Clinical
Kristin Michelle Wagner - NPI 1063699056
Kristin Michelle Wagner is a Clinical in Oakland, California. Kristin Michelle Wagner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kristin Michelle Wagner is 1063699056. The last update date is 2008-01-22.
Kristin Michelle Wagner's current location address is 2540 Charleston St, Oakland, California. You can contact this provider via phone number 5105313666. The mailing address for Kristin Michelle Wagner is 2540 Charleston St, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristin Michelle Wagner |
|---|---|
| Address | 2540 Charleston St, Oakland, California |
| Phone Number | 5105313666 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1063699056 |
|---|---|
| Provider Enumeration Date | 2008-01-22 |
| Last Updated Date | 2008-01-22 |
Provider Mailing Address Detail
| Address | 2540 Charleston St |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946022508 |
| Phone Number | 5105313666 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 20311 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Kristin Michelle Wagner?
The Kristin Michelle Wagner has been issued the NPI (National Provider Identifier) 1063699056 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Kristin Michelle Wagner is located?
The Kristin Michelle Wagner is situated at the following address: 2540 Charleston St, Oakland, CA, 946022508.
What is Kristin Michelle Wagner's area of expertise and its corresponding taxonomy classification?
The Kristin Michelle Wagner's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When was the Kristin Michelle Wagner's 1063699056 issued?
The Kristin Michelle Wagner's 1063699056 was issued on 2008-01-22.
As of what date were the details pertaining to Kristin Michelle Wagner last refreshed?
The information related to the Kristin Michelle Wagner, including its address, specialty, and other relevant details, was last updated on 2008-01-22.
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