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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISS MARIE PIERRETTE WAGNER
NPI 1053074575
Social Worker - Clinical in Jacksonville, FL

Active since October 21, 2021
4651 SALISBURY RD STE 400, JACKSONVILLE, FL 32256(646) 941-7645(929) 596-7897 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2026, Oct 21, 2021 (2 updates tracked since 2021).

About Miss Marie Pierrette Wagner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS MARIE PIERRETTE WAGNER (NPI 1053074575) is an individual clinical provider in Jacksonville, Florida and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1053074575
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS MARIE PIERRETTE WAGNER
Location Address4651 SALISBURY RD STE 400Jacksonville, FL 32256-6187
Mailing Address1937 Sw 15th St Apt 46, Apt 46Deerfield Bch, FL 33442-6157 · (954) 995-1283
Phone(646) 941-7645
Fax(929) 596-7897
Sole ProprietorYes
Enumeration DateOctober 21, 2021
Last NPPES UpdateJune 26, 20262 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1053074575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4651 SALISBURY RD STE 400, Jacksonville, FL 32256
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIANA LUGO
Behavior Technician
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Duval County (904) 877-1507
ANDREA BRAGDON M.S.
Counselor (Mental Health)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Duval County (646) 941-7645
HALIMA BENKHALED
Social Worker (Clinical)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Duval County (646) 941-7645
MS. KELLY L PATRICK LMHC
Counselor (Mental Health)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Duval County (646) 941-7645
JONATHAN JEFFREY STAHL MS, LMHC, NCC
Counselor (Mental Health)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Duval County (813) 726-5334
MRS. JESSICA M LAMBERT LMHC
Counselor (Mental Health)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Duval County (850) 426-3928
CHRISTINA CHAPLIK LMHC
Counselor (Mental Health)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Duval County (646) 941-7645
ATLAS MOBILE MASSAGE THERAPY, LLC
Massage Therapist
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Duval County (904) 683-4373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marie Wagner's NPI number?

The NPI number for Marie Wagner is 1053074575. It was assigned to this individual provider in the NPPES registry on October 21, 2021.

Where is Marie Wagner located?

Marie Wagner practices at 4651 Salisbury Rd Ste 400, Jacksonville, FL 32256. The listed phone number is (646) 941-7645.

What is Marie Wagner's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Marie Wagner was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.