Jeremy Michael Wagoner LCSW

  • NPI 1982093522
According to our database, the NPI number for Jeremy Michael Wagoner LCSW is 1982093522 and activated since 9 years ago. Jeremy Michael Wagoner LCSW is an individual provider who specializes in Clinical, and the primary practice location is 1300 Andrea St, Bowling Green, KY 42104. You can also contact Jeremy Michael Wagoner LCSW via telephone number is (270) 904-2260. Provider NPI information was last updated on 01/20/2015.

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Overview of Jeremy Michael Wagoner LCSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/20/2015
  • Last updated: 01/20/2015

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 3958
  • License State: KY

Provider Mailing Address

  • Address: 1300 Andrea St
    Suite 205
    Bowling Green, KY 42104
  • Phone: 270-904-2260
  • Fax: 270-781-9680

Provider Practice Location

  • Address: 1300 Andrea St
    Suite 205
    Bowling Green, KY 42104
  • Phone: 270-904-2260
  • Fax: 270-781-9680

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 3958
  • License State: KY
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jeremy Michael Wagoner LCSW?
  • A: The npi number for Jeremy Michael Wagoner LCSW is 1982093522.
  • Q: What are Jeremy Michael Wagoner LCSW's specialties?
  • A: Jeremy Michael Wagoner LCSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for Jeremy Michael Wagoner LCSW?
  • A: The medical license number for Jeremy Michael Wagoner LCSW is 3958 and issued in KY in USA.
  • Q: Where is Jeremy Michael Wagoner LCSW practice location?
  • A: Jeremy Michael Wagoner LCSW is practicing at 1300 Andrea St, Bowling Green, KY 42104.
  • Q: How to contact Jeremy Michael Wagoner LCSW?
  • A: You can contact Jeremy Michael Wagoner LCSW via 270-904-2260.
Medicare Specialty
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Sports Medicine
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