Jeanne Wagner is a Clinical in Chapel Hill, North Carolina. Jeanne Wagner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeanne Wagner is 1629101167. The last update date is 2007-07-08.
Jeanne Wagner's current location address is 15 Wysteria Way, Chapel Hill, North Carolina. You can contact this provider via phone number 9199338840. The mailing address for Jeanne Wagner is 15 Wysteria Way, Chapel Hill, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanne Wagner |
|---|---|
| Address | 15 Wysteria Way, Chapel Hill, North Carolina |
| Phone Number | 9199338840 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1629101167 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15 Wysteria Way |
|---|---|
| City | Chapel Hill |
| State | North Carolina (NC) |
| Post Code | 275141637 |
| Phone Number | 9199338840 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C002537 |
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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 10-digit identifier code issued to Jeanne Wagner by the Centers for Medicare & Medicaid Services?
The Jeanne Wagner has been assigned the NPI (National Provider Identifier) 1629101167 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jeanne Wagner?
The Jeanne Wagner is physically situated at 15 Wysteria Way, in the city of Chapel Hill, state of NC, with the postal code 275141637.
What is Jeanne Wagner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeanne 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 Jeanne Wagner receive the assignment of its 1629101167 from the Centers for Medicare & Medicaid Services?
The Jeanne Wagner was issued its 1629101167 by the Centers for Medicare & Medicaid Services on 2007-03-13.
As of what date was the information pertaining to Jeanne Wagner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeanne Wagner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.