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

Individual provider Clinical Social Worker · NPI 1225373459

Loretta Juarez-Wagner, LICSW is a Clinical Social Worker in Seattle, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2012
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

1550 N 115th St
Seattle, WA 98133-8401
Phone: (206) 668-1995
Fax: (206) 668-1874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 419 S 2nd St, Renton, WA 98057-2017 — (425) 203-7200

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW9635 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LW09635 (WA)

Record details

NPI number1225373459
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 28, 2012
Last updated in NPPESNovember 27, 2019

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