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

Betty Louise Wagner, LCSW

Individual provider Clinical Social Worker · NPI 1720132129

Betty Louise Wagner, LCSW is a Clinical Social Worker in Traverse City, Michigan. Qualified in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan and Oregon.

Years since qualifying
28
Licensed in
MI, OR
In the registry since
2007
Specialties on file
2
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

1028 Birmley Estates Dr
Traverse City, MI 49696-8838
Phone: (231) 492-6529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6801081590 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence L7525 (OR)

Record details

NPI number1720132129
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 22, 2007
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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