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KELLY MCMAHON WAGNER LCSW-C
NPI 1356808455
Social Worker - School in Baltimore, MD

Active since February 25, 2019
4701 GREENSPRING AVE, BALTIMORE, MD 21209(443) 642-2027 Get Directions Write a Review

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Mcmahon Wagner Lcsw-c NPPES

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

KELLY MCMAHON WAGNER LCSW-C (NPI 1356808455) is an individual school provider in Baltimore, Maryland, licensed in Maryland (08329) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1356808455
Entity TypeIndividualFemale
Primary Taxonomy1041S0200X
Provider Legal NameKELLY MCMAHON WAGNERCredential: LCSW-C
Location Address4701 GREENSPRING AVEBaltimore, MD 21209-4704
Mailing Address4701 Greenspring AveBaltimore, MD 21209-4704 · (443) 642-2027
Phone(443) 642-2027
Sole ProprietorYes
Enumeration DateFebruary 25, 2019
✔ NPI 1356808455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License✔ Licensed in MD · 08329
4701 GREENSPRING AVE, Baltimore, MD 21209
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Other Names 1

Former Name (1)Kelly Ann Mcmahon Lcsw-c

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 Kelly Wagner's NPI number?

The NPI number for Kelly Wagner is 1356808455. It was assigned to this individual provider in the NPPES registry on February 25, 2019. The provider is also known as Kelly Ann Mcmahon Lcsw-C.

Where is Kelly Wagner located?

Kelly Wagner practices at 4701 Greenspring Ave, Baltimore, MD 21209. The listed phone number is (443) 642-2027.

What is Kelly Wagner's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

When was this NPI record last updated?

The NPPES record for Kelly Wagner was last updated on February 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.