Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Wagner, LCSW

Individual provider Mental Health Counselor · NPI 1538678446

Angela Wagner, LCSW is a Clinical Social Worker in Eugene, Oregon. Qualified in 2021, 5 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2017
Specialties on file
5
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

576 Olive St Ste 307
Eugene, OR 97401-2995
Phone: (541) 912-5913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3525 Hilyard St, Eugene, OR 97405-3866 — (458) 317-7777

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L11945 (OR)
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X (OR)
Community Health Worker Taxonomy 172V00000X
Counselor Taxonomy 101Y00000X

Record details

NPI number1538678446
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 22, 2017
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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