person
Mr. Kevin Dale Wagner, MSW
Clinical Social Worker in Poplar Bluff, Missouri
NPI 1215139894

Kevin Dale Wagner is a Clinical Social Worker based in Poplar Bluff, MO and is specialized in Clinical. Kevin Dale Wagner practices in Poplar Bluff, MO and has the professional credentials of MSW. The NPI Number for Kevin Dale Wagner is 1215139894 and holds a License No. SW 04619 (Missouri).

The current practice location address for Kevin Dale Wagner is 1500 N Westwood Blvd, Poplar Bluff, MO and can be reached out via phone at 573-778-4631.

Location: 1500 N Westwood Blvd, Poplar Bluff, MO, 63901-3318
person
Provider Profile Details
NPI Number
1215139894
Provider Name
Kevin Dale Wagner
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
1500 N Westwood Blvd, Poplar Bluff, MO, 63901-3318
Phone Number
573-778-4631
Fax Number
Provider Enumeration Date
06/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
498307107 05 MO
institution
Provider Business Practice Location Address Details
Address
1500 N Westwood Blvd
City
State
Zip
63901-3318
Phone Number
573-778-4631
Fax Number
person
Provider Business Mailing Address Details
Address
1500 N Westwood Blvd
City
State
Zip
63901-3318
Phone Number
573-778-4631
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
SW 04619 (Missouri)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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