DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACI E WILLIS-WAGNER, LISW

Active Sole Proprietor

TRACI E WILLIS-WAGNER, LISW is a Social Worker healthcare provider located in ONTARIO, Ohio. NPI 1427576842 is currently active in the NPPES registry. Verify at CMS.

Social Worker · ONTARIO, OH

Registration Details

NPI Number
1427576842
Provider Type
Individual
Gender
Female
NPI Issued
Sep 6, 2017 (8.9502992594348 yrs)
Last Updated
Nov 8, 2023
License
S.1700125 (OH)
Sole Proprietor
Yes

Practice Information

Address
2267 VILLAGE MALL DR
ONTARIO, OH, 449061369
Browse OH providers · Browse ZIP 44906
Phone
4199512020
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in ONTARIO, OH

Name Credential NPI
CARY A MCMILLIN LSW, CDCA 1710492855
AERIAL DENISE KEYS LSW 1942897517
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.