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

Traci E Willis-Wagner, LISW

Individual provider Social Worker · NPI 1427576842

Traci E Willis-Wagner, LISW is a Social Worker in Ontario, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2017
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

See every abbreviation used in this directory →

Practice location Address checks out

2267 Village Mall Dr
Ontario, OH 44906-1369
Phone: (419) 951-2020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence S.1700125 (OH)

Record details

NPI number1427576842
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorYes
NPI enumeratedSeptember 6, 2017
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023
Mailing address2267 Village Mall Dr, Ontario, OH 44906-1369

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