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

Shannon Marie Wagner, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1538780077

Shannon Marie Wagner, LCSW is an Addiction (Substance Use Disorder) Counselor in Pompano Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
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

2310 E Atlantic Blvd Bldg 2
Pompano Beach, FL 33062-5251
Phone: (954) 990-7171
Fax: (954) 530-5992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence SW16190 (FL)

Record details

NPI number1538780077
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 6, 2020
Last updated in NPPESMay 6, 2020
Certification dateMay 6, 2020

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