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

Mr. Terry Ray Waggoner II, LSCSW

Individual provider Clinical Social Worker · NPI 1487350187

Mr. Terry Ray Waggoner II, LSCSW is a Clinical Social Worker in Pittsburg, Kansas. Qualified in 2022, 4 years ago. Practices with Crawford County Mental Health Center, a 13-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
4
Licensed in
KS
In the registry since
2023

Practice location Address checks out

3103 N Michigan St
Pittsburg, KS 66762-2545
Phone: (620) 231-5130
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 06897 (KS)

Record details

NPI number1487350187
Entity typeIndividual (Type 1)
GenderMale
Credentials LSCSW
Sole proprietorNo
NPI enumeratedFebruary 3, 2023
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Crawford County Mental Health Center — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pittsburg