Molly Marie Wagner is a Clinical in Erie, Pennsylvania. Molly Marie Wagner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Molly Marie Wagner is 1225240922. The last update date is 2019-12-17.
Molly Marie Wagner's current location address is 1001 State St Ste 102, Erie, Pennsylvania. You can contact this provider via phone number 8145801743 and fax number 8142406347. The mailing address for Molly Marie Wagner is 1001 State St Ste 102, Erie, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Molly Marie Wagner |
|---|---|
| Address | 1001 State St Ste 102, Erie, Pennsylvania |
| Phone Number | 8145801743 |
| Fax Number | 8142406347 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1225240922 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2019-12-17 |
Provider Mailing Address Detail
| Address | 1001 State St Ste 102 |
|---|---|
| City | Erie |
| State | Pennsylvania (PA) |
| Post Code | 165011835 |
| Phone Number | 8145801743 |
| Fax Number | 8142406347 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW015648 |
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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 identifier code issued to Molly Marie Wagner by the Centers for Medicare & Medicaid Services (CMS)?
The Molly Marie Wagner has been assigned the NPI (National Provider Identifier) 1225240922. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Molly Marie Wagner?
The Molly Marie Wagner is physically situated at 1001 State St Ste 102, in the city of Erie, state of PA, with the postal code 165011835.
What is Molly Marie Wagner's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Molly Marie Wagner is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When was the Molly Marie Wagner's 1225240922 issued?
The Molly Marie Wagner's 1225240922 was issued on 2007-05-04.
As of what date were the details related to Molly Marie Wagner most recently updated or revised?
The information pertaining to Molly Marie Wagner, including its address, specialty, and other relevant details, was last updated or revised on 2019-12-17.