Amy Wagner is a Clinical in Bel Air, Maryland. Amy Wagner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amy Wagner is 1982763512. The last update date is 2014-10-07.
Amy Wagner's current location address is 44 E Gordon St, Bel Air, Maryland. You can contact this provider via phone number 4108389000 and fax number 4108388953. The mailing address for Amy Wagner is 44 E Gordon St, Bel Air, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Wagner |
|---|---|
| Address | 44 E Gordon St, Bel Air, Maryland |
| Phone Number | 4108389000 |
| Fax Number | 4108388953 |
| Sole Proprietor | N |
| Credentials | LCSW-C |
NPI Number Detail
| NPI Number | 1982763512 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2014-10-07 |
Provider Mailing Address Detail
| Address | 44 E Gordon St |
|---|---|
| City | Bel Air |
| State | Maryland (MD) |
| Post Code | 210142916 |
| Phone Number | 4108389000 |
| Fax Number | 4108388953 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7276 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17189100 | MD | -- | |
| KL86 | MD | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Amy Wagner by the Centers for Medicare & Medicaid Services?
The Amy Wagner has been issued the NPI (National Provider Identifier) 1982763512 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Amy Wagner is physically located?
The Amy Wagner is physically situated at the following address: 44 E Gordon St, Bel Air, MD, 210142916.
What is Amy Wagner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Amy Wagner's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Amy Wagner receive its 1982763512 assignment from the Centers for Medicare & Medicaid Services?
The Amy Wagner was assigned its 1982763512 by the Centers for Medicare & Medicaid Services on 2006-12-08.
When was the information regarding Amy Wagner most recently updated?
The details pertaining to the Amy Wagner, including its address, specialty, and other relevant information, were last refreshed on 2014-10-07.
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