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KRISTIN MICHELLE WAGNER LCSW
NPI 1063699056
Social Worker - Clinical in Oakland, CA

Active since January 22, 2008
2540 CHARLESTON ST, OAKLAND, CA 94602(510) 531-3666 Get Directions Write a Review

NPPES record last updated: January 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristin Michelle Wagner Lcsw NPPES

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

KRISTIN MICHELLE WAGNER LCSW (NPI 1063699056) is an individual clinical provider in Oakland, California, licensed in California (20311) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1063699056
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTIN MICHELLE WAGNERCredential: LCSW
Location Address2540 CHARLESTON STOakland, CA 94602-2508
Mailing Address2540 Charleston StOakland, CA 94602-2508 · (510) 531-3666
Phone(510) 531-3666
Sole ProprietorNo
Enumeration DateJanuary 22, 2008
✔ NPI 1063699056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 20311
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.
2540 CHARLESTON ST, Oakland, CA 94602
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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.

MRS. SARA LOUISE MCKINNON
Marriage & Family Therapist
2540 CHARLESTON ST
OAKLAND, CA 94602
Alameda County (510) 220-2548
MICHAEL ERWIN CLARK JR.
Marriage & Family Therapist
2540 CHARLESTON ST
OAKLAND, CA 94602
Alameda County (510) 531-7551
RENALD EDWARDS JR.
Counselor
2540 CHARLESTON ST
OAKLAND, CA 94602
Alameda County (510) 531-3666
MS. DIANE MCCULLOUGH
Marriage & Family Therapist
2540 CHARLESTON ST
OAKLAND, CA 94602
Alameda County (510) 531-7551
ADRIANA ZAPIEN
Day Training/Habilitation Specialist
2540 CHARLESTON ST
OAKLAND, CA 94602
Alameda County (510) 913-4696
JANIS CAVICCHIA
Marriage & Family Therapist
2540 CHARLESTON ST
OAKLAND, CA 94602
Alameda County (510) 531-7551
JOSE DANIEL HERNANDEZ B.A.
Student in an Organized Health Care Education/Training Program
2540 CHARLESTON ST
OAKLAND, CA 94602
Alameda County (510) 531-7551
MS. PATTI-ANN MALONEY MSW
Social Worker
2540 CHARLESTON ST
OAKLAND, CA 94602
Alameda County (510) 531-7551

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 Kristin Wagner's NPI number?

The NPI number for Kristin Wagner is 1063699056. It was assigned to this individual provider in the NPPES registry on January 22, 2008.

Where is Kristin Wagner located?

Kristin Wagner practices at 2540 Charleston St, Oakland, CA 94602. The listed phone number is (510) 531-3666.

What is Kristin 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 Kristin Wagner was last updated on January 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.