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

Janice K. Wagner, LICSW

Individual provider Clinical Social Worker · NPI 1497779466

Janice K. Wagner, LICSW is a Clinical Social Worker in Boston, Massachusetts. Qualified in 1982, 44 years ago. Accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
44
Licensed in
MA
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

147 Milk St
Boston, MA 02109-4806
Phone: (617) 654-7300
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 105968 (MA)

Record details

NPI number1497779466
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESApril 8, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Boston