Diane Wagner is a Clinical in Albuquerque, New Mexico. Diane Wagner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diane Wagner is 1083777148. The last update date is 2007-07-08.
Diane Wagner's current location address is 5100 2nd St Nw, Albuquerque, New Mexico. You can contact this provider via phone number 5057616600. The mailing address for Diane Wagner is 5100 2nd St Nw, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Wagner |
|---|---|
| Address | 5100 2nd St Nw, Albuquerque, New Mexico |
| Phone Number | 5057616600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1083777148 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5100 2nd St Nw |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871074009 |
| Phone Number | 5057616600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I-04793 |
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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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What is the unique 10-digit identifier code issued to Diane Wagner by the Centers for Medicare & Medicaid Services?
The Diane Wagner has been assigned the NPI (National Provider Identifier) 1083777148 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Diane Wagner located?
The Diane Wagner is located at 5100 2Nd St Nw, Albuquerque, NM 871074009.
What is the Diane Wagner's specialty and taxonomy code?
The Diane Wagner's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083777148 to Diane Wagner?
The Diane Wagner received its 1083777148 assignment from the Centers for Medicare & Medicaid Services on 2006-12-19.
When was the information regarding Diane Wagner most recently updated?
The details pertaining to the Diane Wagner, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.