Individual provider · Type 1 NPI

Lisa Elizabeth Wagner, LISW-S

Clinical Social Worker · Kenton, OH

NPI number 1629182225 Active

Practice location

111 W Espy St
Kenton, OH 43326-2117

Fax (419) 225-8878

Mailing address

329 N West St
Lima, OH 45801-4332

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI.0009675-SUPV (OH)

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 1629182225

Lisa Elizabeth Wagner, LISW-S's National Provider Identifier is 1629182225, issued on Aug 19, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kenton, OH. The record was last updated on Apr 7, 2025.