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

Candace Jean Neis-Wagner, LCSW

Individual provider Clinical Social Worker · NPI 1114240579

Candace Jean Neis-Wagner, LCSW is a Clinical Social Worker in Wauwatosa, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.

Licensed in
WI
In the registry since
2010
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

3040 N 117th St Ste 100
Wauwatosa, WI 53222-4128
Phone: (414) 337-8988
Fax: (414) 479-0230
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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 7566-123 (WI)

Record details

NPI number1114240579
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 12, 2010
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023

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