Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA WAGNER, LICSW
ActiveJESSICA WAGNER, LICSW is a Clinical Social Worker healthcare provider located in PORTLAND, Oregon. NPI 1316347198 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · PORTLAND, OR
Registration Details
- NPI Number
- 1316347198
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2014 (11.91991436021 yrs)
- Last Updated
- Aug 22, 2018
- Licenses
-
LW6055853 (WA)M5624 (OR)
Practice Information
- Address
-
3710 SW US VETERANS HOSPITAL RDPORTLAND, OR, 972392964Browse OR providers · Browse ZIP 97239
- Phone
- 5032208262
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Social Worker
Other Clinical Social Worker Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| LAURANELL SCARFO | LCSW | 1659371169 |
| LAURA L WOZNIAK | LCSW | 1487642047 |
| SUSAN SHERWOOD | LCSW | 1144219114 |
| KAREN ST CLAIR | LCSW | 1124017199 |
| ARTICE E GEARY | LCSW | 1508856188 |
| MS. SABRINA ULLMANN MATHEWS | LCSW | 1235110248 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.