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

Keith A Waggoner, LSW

Individual provider Social Worker · NPI 1780122432

Keith A Waggoner, LSW is a Social Worker in Wooster, Ohio. Licensed in Ohio. Registered with an NPI since 2017.

Licensed in
OH
In the registry since
2017
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

2587 Back Orrville Rd
Wooster, OH 44691-9523
Phone: (330) 264-9597
Fax: (330) 264-0946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence S.1502449 (OH)

Record details

NPI number1780122432
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorNo
NPI enumeratedFebruary 2, 2017
Last updated in NPPESFebruary 2, 2017
Mailing address2587 Back Orrville Rd, Wooster, OH 44691-9523

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