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

Jeffrey Wagner

Individual provider Clinical Social Worker · NPI 1396424842

Jeffrey Wagner is a Clinical Social Worker in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2023

Practice location Address checks out

123 NW 36th St Ste 210
Seattle, WA 98107-4959
Phone: (425) 640-7009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW70042194 (WA)

Record details

NPI number1396424842
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 12, 2023
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

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