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

Katherine Anna Van Wagner, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1588210066

Katherine Anna Van Wagner, MSW, LICSW is a Clinical Social Worker in South Burlington, Vermont. Licensed in Vermont. Registered with an NPI since 2019.

Licensed in
VT
In the registry since
2019
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

50 Joy Dr
South Burlington, VT 05403-6561
Phone: (802) 864-7467
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 089.0115736 (VT)

Record details

NPI number1588210066
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedAugust 12, 2019
Last updated in NPPESAugust 12, 2019

Other providers in South Burlington