Individual provider · Type 1 NPI

Autumn Wagoner, LISW

Clinical Social Worker · Canton, OH

NPI number 1962875245 Active

Practice location

4641 Fulton Dr NW
Canton, OH 44718-2384

Call (330) 433-6075 Map

Other practice locations

  • 405 S Linden Ave, Alliance, OH 44601-3035 · (330) 433-6075
  • 919 2nd St NE, Canton, OH 44704-1132 · (330) 454-7917
  • 1801 Schneider St NE, Canton, OH 44721-3349 · (330) 470-4061

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI.2506755 (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 1962875245

Autumn Wagoner, LISW's National Provider Identifier is 1962875245, issued on Nov 9, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Canton, OH. The record was last updated on Oct 9, 2025.