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

Autumn Wagoner, LISW

Individual provider Clinical Social Worker · NPI 1962875245

Autumn Wagoner, LISW is a Clinical Social Worker in Canton, Ohio. Works from 4 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2015
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

4641 Fulton Dr NW
Canton, OH 44718-2384
Phone: (330) 433-6075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 405 S Linden Ave, Alliance, OH 44601-3035 — (330) 433-6075
  • 1801 Schneider St Ne, Canton, OH 44721-3349 — (330) 470-4061
  • 919 2nd St Ne, Canton, OH 44704-1132 — (330) 454-7917

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.2506755 (OH)

Record details

NPI number1962875245
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedNovember 9, 2015
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address4641 Fulton Dr Nw, Canton, OH 44718-2384

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