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

Mr. Logan Douglass Wagner, LSW

Individual provider Social Worker · NPI 1558219378

Mr. Logan Douglass Wagner, LSW is a Social Worker in Marion, Indiana. Licensed in Indiana. Registered with an NPI since 2026.

Licensed in
IN
In the registry since
2026
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

See every abbreviation used in this directory →

Practice location Address checks out

1700 E Bradford Pike
Marion, IN 46952-8643
Phone: (765) 664-7740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 99133854A (IN)

Record details

NPI number1558219378
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorNo
NPI enumeratedMarch 18, 2026
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

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