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

Kristin Michelle Wagner, LCSW

Individual provider Clinical Social Worker · NPI 1063699056

Kristin Michelle Wagner, LCSW is a Clinical Social Worker in Oakland, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2540 Charleston St
Oakland, CA 94602-2508
Phone: (510) 531-3666
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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 20311 (CA)

Record details

NPI number1063699056
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 22, 2008
Last updated in NPPESJanuary 22, 2008

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