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

Individual provider Clinical Social Worker · NPI 1104932938

Jessica Waggoner, LCSW is a Clinical Social Worker in Manchester, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.

Licensed in
CT
In the registry since
2006
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

587 Middle Tpke E
Manchester, CT 06040-3731
Phone: (860) 646-3888
Fax: (860) 645-4132
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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 006139 (CT)

Record details

NPI number1104932938
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 22, 2006
Last updated in NPPESJuly 9, 2007

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