SearchKentuckyClinical Social Worker

Jeremy Wagoner, LCSW

NPI 1982093522 · on the registry since 2015 · sole proprietor

Practice

Address
1300 Andrea St
Suite 205
Bowling Green, KY 42104
Phone
(270) 904-2260
Fax
(270) 781-9680
Organisation at this address
Verdant Healthcare Llc
Community Options, Inc.
Dbt Center Of Western Kentucky, Llc
Bowling Green Pediatrics, Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-01-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky