| Ms Theressa Marie Wagner, MSW LCSW | |
|
677a East Main, Centreville, MI 49032 | |
| (269) 467-1000 | |
| Not Available |
| Full Name | Ms Theressa Marie Wagner |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 677a East Main, Centreville, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326196759 | NPI | - | NPPES |
| 1708146 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801078479 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Theressa Marie Wagner, MSW LCSW 677a East Main, Centreville, MI 49032 Ph: (269) 467-1000 | Ms Theressa Marie Wagner, MSW LCSW 677a East Main, Centreville, MI 49032 Ph: (269) 467-1000 |
Shelly Bixler-martin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 677 E Main St, Centreville, MI 49032 Phone: 269-467-1001 | |
Grae Mackenzie Miller, LLMSW,DP-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 677 E Main St, Centreville, MI 49032 Phone: 269-467-1000 | |
Mr. Thomas M Spirito, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 677a East Main, Centreville, MI 49032 Phone: 269-467-1000 | |
Mrs. Elizabeth Ann O'dell, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 677a East Main, Centreville, MI 49032 Phone: 269-467-1000 | |
Jodi Anne Lytle, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 677 E Main St Ste A, Centreville, MI 49032 Phone: 269-467-1000 Fax: 269-467-3072 | |
Mrs. Stacy M Linihan, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 658 East Main, Centreville, MI 49032 Phone: 269-467-3228 | |
Mrs. Angela Nichoele Johnson, LLPC, LBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 677a East Main, Centreville, MI 49032 Phone: 269-467-1000 |