Individual provider · Type 1 NPI

Shannon Wagoner, LCSW

Clinical Social Worker · Carmel, IN

NPI number 1760191399 Active

Practice location

697 Pro Med Ln
Carmel, IN 46032-5323

Fax (317) 674-0060

Mailing address

9615 E 148th St Ste 1
Noblesville, IN 46060-4371

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34007200A (IN)

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 1760191399

Shannon Wagoner, LCSW's National Provider Identifier is 1760191399, issued on Nov 22, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Carmel, IN. The record was last updated on Mar 29, 2023.