DEBORAH JESSICA WAGNER LCSW - NPI 1285384750 - Social Worker in San Diego, CA

Q: What is Deborah Wagner's NPI number?

The NPI number for Deborah Wagner is 1285384750. It was assigned to this individual provider in the NPPES registry on March 26, 2022.

Q: What is Deborah Wagner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Deborah Wagner was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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About Deborah Jessica Wagner Lcsw NPPES

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

DEBORAH JESSICA WAGNER LCSW (NPI 1285384750) is an individual clinical provider in San Diego, California, licensed in California (LCSW109185) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1285384750

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameDEBORAH JESSICA WAGNERCredential: LCSW

Location Address4305 UNIVERSITY AVE STE 150San Diego, CA 92105-1690

Mailing Address3020 Childrens Way # Mc5100San Diego, CA 92123-4223 · (858) 576-1700

Phone(858) 576-1700

Sole ProprietorNo

Enumeration DateMarch 26, 2022

Last NPPES UpdateOctober 10, 2023

NPPES CertifiedOctober 10, 2023

✔ NPI 1285384750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · LCSW109185

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.

Also ListedSocial WorkerTaxonomy 104100000X · License LC50078648 (DC)

4305 UNIVERSITY AVE STE 150, San Diego, CA 92105

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Other Providers at the Same Location NPPES 11

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

MS. MONICA FELIX LCSW

Social Worker (Clinical)