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

Jennifer Wagner, LCSW

Individual provider Clinical Social Worker · NPI 1881050607

Jennifer Wagner, LCSW is a Clinical Social Worker in Libertyville, Illinois. Qualified in 2007, 19 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2016
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

800 S Milwaukee Ave Ste 105
Libertyville, IL 60048-3268
Phone: (847) 816-9180
Fax: (847) 816-9183
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 149015113 (IL)

Record details

NPI number1881050607
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 8, 2016
Last updated in NPPESFebruary 3, 2016
Mailing address26194 N Hickory Ave, Mundelein, IL 60060-4006

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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