Wagner, Jo-Ann
Wagner, Jo-Ann is an individual health care provider with primary practice located at 1318 Jamestown Rd Suite 101, Williamsburg VA 23185-3382. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wagner, Jo-Ann can be contacted via phone (757) 229-7927.Contact Information
Primary practice address
1318 Jamestown Rd Suite 101
Williamsburg VA 23185-3382
Phone: (757) 229-7927
Fax: (757) 253-8891
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904000859 | Virginia |
Profile Details
NPI number | 1417054172 |
---|---|
LBN Legal business name | Wagner, Jo-Ann |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 17th, 2006 |
Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417054172 | NPPES |
Virginia | Other | 000249 | VALUE OPTIONS |
Virginia | Other | 13467 | VALUE OPTIONS |
Virginia | Other | 086720 | VALUE OPTIONS |
Virginia | MEDICAID | 8903913 | VALUE OPTIONS |
Virginia | Other | 380403 | VALUE OPTIONS |
Virginia | Other | 323507 | VALUE OPTIONS |
Virginia | Other | 339165 | VALUE OPTIONS |
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