Individual provider · Type 1 NPI

Melinda E. Waggoner, LISW-S

Clinical Social Worker · Beachwood, OH

NPI number 1821229352 Active

Practice location

25550 Chagrin Blvd, Suite 200
Beachwood, OH 44122-5638

Fax (216) 765-0521

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI.1000347 (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 1821229352

Melinda E. Waggoner, LISW-S's National Provider Identifier is 1821229352, issued on Jul 31, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Beachwood, OH. The record was last updated on May 4, 2016.