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

Casey Wagner, LICSW

Individual provider Clinical Social Worker · NPI 1740777838

Casey Wagner, LICSW is a Clinical Social Worker in Brainerd, Minnesota. Qualified in 2015, 11 years ago. Practices with East West Counseling and Consulting PLLC, a 2-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2018
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

18510 MN-371 Ste A
Brainerd, MN 56401
Phone: (218) 537-8680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 — (844) 374-8893
  • 7115 Forthun Rd Ste 105, Baxter, MN 56425 — (218) 454-0090
  • 520 Nw 5th St, Brainerd, MN 56401-2902 — (218) 829-3235

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 24443 (MN)

Record details

NPI number1740777838
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 16, 2018
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 19, 2024
Mailing address18510 Mn-371, Suite A, Brainerd, MN 56401

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice East West Counseling And Consulting Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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