Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kendall Todd Carman-Wagner, LICSW

Individual provider Clinical Social Worker · NPI 1962552844

Kendall Todd Carman-Wagner, LICSW is a Clinical Social Worker in Dayton, Washington. Qualified in 1990, 36 years ago. Practices with Columbia County Hospital District, a 57-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
36
Licensed in
WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1012 S 3rd St
Dayton, WA 99328-1606
Phone: (509) 382-2531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 29 Jubilee Cir, Prescott, WA 99348-8607 — (509) 749-2103

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW00005301 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CP00000091 (WA)

Record details

NPI number1962552844
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 11, 2007
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Columbia County Hospital District — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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