National Provider Identifier

Amie E Wagner, LCSW

Amie E Wagner, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Honeoye Falls, NY and a listed phone number of (585) 703-1904.

NPI 1083489173Honeoye Falls, NYClinical Social Worker

Profile Overview

NPI
1083489173
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
November 17, 2023
Last Updated
November 17, 2023

Practice Location

  • 23 Stonefield Pl
  • Honeoye Falls, NY 14472-1158

Phone: (585) 703-1904

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1083489173
Entity Type
Individual
Last Name
Wagner
First Name
Amie
Middle Name
E
Credential
LCSW
Mailing Street Address
23 Stonefield Pl
Mailing City
Honeoye Falls
Mailing State
NY
Mailing ZIP Code
14472-1158
Mailing Country
US
Mailing Phone
(585) 703-1904
Practice Street Address
23 Stonefield Pl
Practice City
Honeoye Falls
Practice State
NY
Practice ZIP Code
14472-1158
Practice Country
US
Practice Phone
(585) 703-1904
Enumeration Date
November 17, 2023
Last Updated
November 17, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
November 17, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)