IndividualActive
Angela Wagner, LICSW
NPI 1346667730 · Clinical Social Worker · Clarksburg, WV
Provider details
- NPI number
- 1346667730
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- DP00939886 (WV)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1 Medical Center Drive
Social Work - 122
Clarksburg, WV 26301
Phone: (304) 623-3461
Approximate (ZIP-level) locationGet directions
Mailing address
1 Medical Center Drive
Clarksburg, WV 26301
Registry dates
- Enumerated
- 2014-03-24
- Last updated
- 2024-08-05
- Certified
- 2024-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.