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

MS. Licia Maria Thomas-Wagoner, LCSW

Individual provider Clinical Social Worker · NPI 1750553384

MS. Licia Maria Thomas-Wagoner, LCSW is a Clinical Social Worker in North Chesterfield, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008
What do these letters mean?
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

9409 Hull Street Rd Ste D1
North Chesterfield, VA 23236-1200
Phone: (804) 745-2225
Fax: (804) 745-2242
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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 0904006772 (VA)

Record details

NPI number1750553384
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 24, 2008
Last updated in NPPESNovember 12, 2013

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