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

MS. Stacey Lynn Wagner, LSW

Individual provider Social Worker · NPI 1194946889

MS. Stacey Lynn Wagner, LSW is a Social Worker in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2007.

Licensed in
ND
In the registry since
2007
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

1112 Nodak Dr S Ste 200
Fargo, ND 58103-2366
Phone: (701) 280-9545
Fax: (701) 280-9520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 1402 (ND)

Record details

NPI number1194946889
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedMay 1, 2007
Last updated in NPPESJuly 8, 2007

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