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

Brooke Leigh Wagner, LCSW

Individual provider Clinical Social Worker · NPI 1265154454

Brooke Leigh Wagner, LCSW is a Clinical Social Worker in Victor, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
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

6539 Anthony Dr Ste A
Victor, NY 14564-1441
Phone: (585) 398-8835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 093973-01 (NY)

Record details

NPI number1265154454
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 14, 2022
Last updated in NPPESSeptember 14, 2022
Certification dateSeptember 12, 2022

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