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

Mr. Kevin Dale Wagner, MSW

Individual provider Clinical Social Worker · NPI 1215139894

Mr. Kevin Dale Wagner, MSW is a Clinical Social Worker in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

See every abbreviation used in this directory →

Practice location Address checks out

1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318
Phone: (573) 778-4631
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 SW 04619 (MO)

Record details

NPI number1215139894
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW
Sole proprietorNo
NPI enumeratedJune 5, 2007
Last updated in NPPESDecember 26, 2013

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