IndividualActive
Beverly Wagner, LISW
NPI 1861553596 · Clinical Social Worker · Taylors, SC
Provider details
- NPI number
- 1861553596
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LISW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5028 (SC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
161 Landmark Dr
Taylors, SC 29687-2819
Phone: (864) 244-0154
Fax: (864) 609-5003
Approximate (ZIP-level) locationGet directions
Mailing address
161 Landmark Dr
Taylors, SC 29687-2819
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.