Christine B. Wagner, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW04992 Issued in RI

Practice address

25 Blackstone Valley PL Ste 2
Lincoln, RI 02865-1182

Phone

(401) 475-0653

Fax

(401) 475-0729

NPI assigned

Oct 6, 2026

Last updated

Oct 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1578467106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 VICTORY HWY",
            "city": "MAPLEVILLE",
            "state": "RI",
            "postal_code": "028391256",
            "telephone_number": "401-332-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BLACKSTONE VALLEY PL STE 2",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651182",
            "telephone_number": "401-475-0653",
            "fax_number": "401-475-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "CHRISTINE",
        "middle_name": "B.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW04992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Violette, PA
• Vital Care of Rhode Island, Inc.
• Gabriella Vivas
• Justin P Volpe
• Shrenik Vyas, FNP-C
• Carly Walker, MS,RD,LDN
• Katherine Walker, LCSW
• Quianna Walker
• Andrew R Walsh
• Karyn Ward

• Clinical Social Worker in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.