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

Mrs. Dorothy Wagner, LICSW

Individual provider Clinical Social Worker · NPI 1033483649

Mrs. Dorothy Wagner, LICSW is a Clinical Social Worker in Rochester, Minnesota. Qualified in 2009, 17 years ago. Accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
17
Licensed in
MN
In the registry since
2012
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1610 14th St NW Ste 301
Rochester, MN 55901-0229
Phone: (507) 419-4347
Fax: (507) 607-8789
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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 20597 (MN)

Record details

NPI number1033483649
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 28, 2012
Last updated in NPPESApril 15, 2024
Certification dateNovember 8, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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