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

Individual provider Clinical Social Worker · NPI 1992464465

Kelly Marie Wagner, LCSW is a Clinical Social Worker in Erie, Pennsylvania. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021
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

1932 Brooksboro Dr
Erie, PA 16510-3872
Phone: (814) 708-2010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 77 Central Ave Ste D, Asheville, NC 28801-4256 — (828) 333-9320

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C018909 (NC)

Record details

NPI number1992464465
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 13, 2021
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

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