Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN DALE WAGNER, MSW
ActiveMR. KEVIN DALE WAGNER, MSW is a Clinical Social Worker healthcare provider located in POPLAR BLUFF, Missouri. NPI 1215139894 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · POPLAR BLUFF, MO
Registration Details
- NPI Number
- 1215139894
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2007 (19.197232528515 yrs)
- Last Updated
- Dec 26, 2013
- License
-
SW 04619 (MO)
Practice Information
- Address
-
1500 N WESTWOOD BLVDPOPLAR BLUFF, MO, 639013318Browse MO providers · Browse ZIP 63901
- Phone
- 5737784631
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in POPLAR BLUFF, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. TAMMY R KAEMPFE | LCSW | 1194707240 |
| MRS. KAREN ELIZABETH CAMPA | LCSW/MSW | 1134103351 |
| JEFFRY T TILL | LCSW | 1598743122 |
| ROBERT A MCDONALD | LCSW | 1396723912 |
| PAULA R GATES | LCSW | 1881672400 |
| DR. CYNTHIA LAVERNE BROWN | MD, LCSW | 1972576353 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.