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

Lily S Wagner, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1366172066

Lily S Wagner, MSW, LICSW is a Clinical Social Worker in Baxter, Minnesota. Graduated from University of Minnesota, Duluth School of Medicine in 2015, 11 years ago. Practices with East West Counseling and Consulting PLLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
11
Trained at
University of Minnesota, Duluth School of Medicine
Licensed in
MN
In the registry since
2022
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 →

Practice location Address checks out

7251 Excelsior Rd
Baxter, MN 56425-8477
Phone: (218) 454-0878
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 24788 (MN)

Record details

NPI number1366172066
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorYes
NPI enumeratedJune 15, 2022
Last updated in NPPESJune 15, 2022
Certification dateJune 1, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF MINNESOTA, DULUTH SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice East West Counseling And Consulting Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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