Carol Theresa Wagner is a Marriage & Family Therapist based in Bronx, NY. Carol Theresa Wagner practices in Bronx, NY and has the professional credentials of LCSW. The NPI Number for Carol Theresa Wagner is 1760537062 and holds a License No. (New York).
The current practice location address for Carol Theresa Wagner is 2780 Schurz Ave, Bronx, NY and can be reached out via phone at 718-863-9134 and via fax at 718-863-6125.
Location: 2780 Schurz Ave, Bronx, NY, 10465-3334
Provider Profile Details
NPI Number
1760537062
Provider Name
Carol Theresa Wagner
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
2780 Schurz Ave, Bronx, NY, 10465-3334
Phone Number
718-863-9134
Fax Number
718-863-6125
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147324 | 01 | VALUE OPTIONS |
Provider Business Practice Location Address Details
Address
2780 Schurz Ave
City
State
Zip
10465-3234
Phone Number
718-863-9134
Fax Number
718-863-6125
Provider Business Mailing Address Details
Address
2780 Schurz Ave
City
State
Zip
10465-3234
Phone Number
718-863-9134
Fax Number
718-863-6125
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
PR029268-1 (New York)
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
License No.
()
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Provider's Taxonomy Details 5
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
()
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.
Provider's Taxonomy Details 6
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 7
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
License No.
()
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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