Individual provider · Type 1 NPI

Taya Marie Waggoner

Clinical Social Worker · St. George, UT

NPI number 1336053628 Active

Practice location

1664 S Dixie Dr Ste E102
St. George, UT 84770-7329

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X14311843-3502 (UT)

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 1336053628

Taya Marie Waggoner's National Provider Identifier is 1336053628, issued on Oct 1, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. George, UT. The record was last updated on Oct 1, 2026.