Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. William Douglas Wagner, MSW, LCSW

Individual provider Mental Health Counselor · NPI 1043594963

Mr. William Douglas Wagner, MSW, LCSW is a Mental Health Counselor in North Port, Florida. Practices as a sole proprietor. Licensed in Florida and Kentucky.

Licensed in
FL, KY
In the registry since
2011
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

2139 Palm Ct
North Port, FL 34287-5724
Phone: (859) 979-0160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence SW9961 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 356 (KY)

Record details

NPI number1043594963
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedOctober 11, 2011
Last updated in NPPESOctober 11, 2011

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