Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IVY CHRISTINE WAGNER, DBH, LCSW
ActiveDR. IVY CHRISTINE WAGNER, DBH, LCSW is a Clinical Social Worker healthcare provider located in BANDON, Oregon. NPI 1346754702 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BANDON, OR
Registration Details
- NPI Number
- 1346754702
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 21, 2017 (8.713526323766 yrs)
- Last Updated
- Aug 16, 2024
- License
-
L11519 (OR)
Practice Information
- Address
-
780 2ND ST SE STE 10BANDON, OR, 974118354Browse OR providers · Browse ZIP 97411
- Phone
- 5413292144
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BANDON, OR
| Name | Credential | NPI |
|---|---|---|
| MRS. SUSAN LYNN DIMOCK | LCSW | 1619098167 |
| MR. RICHARD A. STANDIFORD | LCSW | 1417168329 |
| MRS. NICOLE LAVEE WOOLLEY | — | 1952858029 |
| TRACY ANN MERRIAM | LCSW | 1104572288 |
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.