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

Mr. Andrew Jacob Wagoner, LCSW

Individual provider Clinical Social Worker · NPI 1891393989

Mr. Andrew Jacob Wagoner, LCSW is a Clinical Social Worker in Jeffersonville, Indiana. Qualified in 2010, 16 years ago. Practices with Seven Counties Services, Inc, a 90-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
16
Licensed in
KY
In the registry since
2020
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

460 Spring St
Jeffersonville, IN 47130-3452
Phone: (812) 913-5462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 3976 (KY)

Record details

NPI number1891393989
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 12, 2020
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Seven Counties Services, Inc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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