Wagner, Hannah
Wagner, Hannah is an individual health care provider with primary practice located at 1128 Nw Harriman St , Bend OR 97703-1947. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wagner, Hannah can be contacted via phone (541) 322-7500.Contact Information
Primary practice address
1128 Nw Harriman St
Bend OR 97703-1947
Phone: (541) 322-7500
Fax: (541) 322-7565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1275941502 |
|---|---|
| LBN Legal business name | Wagner, Hannah |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2014 |
| Last updated | Aug 2nd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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