Jerry Main Wagner
Jerry Main Wagner is a Clinical Social Worker in Union Mills, North Carolina. Qualified in 2022, 4 years ago. Licensed in North Carolina.
- Years since qualifying
- 4
- Licensed in
- NC
- In the registry since
- 2022
Practice location Address checks out
1494 Camp Creek RdUnion Mills, NC 28167-7900
Phone: (828) 423-6886
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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 C018630 (NC) |
|---|
Record details
| NPI number | 1346995008 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 21, 2022 |
| Last updated in NPPES | June 25, 2025 |
| Certification date | June 25, 2025 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |