Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Erin Marie Wagner, LICSW

Individual provider Clinical Social Worker · NPI 1356909691

Erin Marie Wagner, LICSW is a Clinical Social Worker in Brookline, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2019.

Licensed in
MA
In the registry since
2019
Specialties on file
3
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

41 Garrison Rd
Brookline, MA 02445-4445
Phone: (617) 277-8107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 126421 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 000226691 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356909691
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 2, 2019
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023

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