Individual provider · Type 1 NPI

Rebecca Waggaman, LCSW

Clinical Social Worker · Meridian, ID

NPI number 1821140898 Active

Practice location

3071 E Franklin Rd, Suite 201
Meridian, ID 83642-2376

Fax (208) 807-2888

Mailing address

PO Box 1603
Meridian, ID 83680-1603

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW1169 (ID)

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 1821140898

Rebecca Waggaman, LCSW's National Provider Identifier is 1821140898, issued on Jan 18, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Meridian, ID. The record was last updated on Dec 23, 2025.