Individual provider · Type 1 NPI

Jennifer Marie Waggoner, C8432 LCSW

Clinical Social Worker · Diamondhead, MS

NPI number 1063133361 Active

Practice location

7714 Moanalua Way
Diamondhead, MS 39525-3740

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC8432 (MS)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1063133361

Jennifer Marie Waggoner, C8432 LCSW's National Provider Identifier is 1063133361, issued on Sep 6, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Diamondhead, MS. The record was last updated on Sep 6, 2022.