Wagner, Tanya

Wagner, Tanya is an sole proprietor health care provider with primary practice located at 7680 Mandan Rd , Greenbelt MD 20770-2165. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Wagner, Tanya can be contacted via phone (443) 449-8683.

Contact Information

Primary practice address
7680 Mandan Rd Greenbelt MD 20770-2165
Phone: (443) 449-8683
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 16413 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC50079970 District of Columbia
Behavioral Health & Social Service Providers / Social Worker 104100000X 16413 Maryland

Profile Details

NPI number 1336432749
LBN Legal business name Wagner, Tanya
Credentials LCSW-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2011
Last updated Mar 17th, 2018 - about 6 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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