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

Mrs. Lynnette Yvonne Wagner, LICSW

Individual provider Clinical Social Worker · NPI 1295992907

Mrs. Lynnette Yvonne Wagner, LICSW is a Clinical Social Worker in Brainerd, Minnesota. Qualified in 2003, 23 years ago. Practices as a sole proprietor and accepts Medicare assignment.

Years since qualifying
23
In the registry since
2008
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

18101 Hartley Dr
Brainerd, MN 56401-7915
Phone: (218) 828-4611
Fax: (218) 828-4611
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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

Record details

NPI number1295992907
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMay 20, 2008
Last updated in NPPESOctober 4, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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