MR. WILLIAM DOUGLAS WAGNER MSW, LCSW
NPI 1043594963
Counselor - Mental Health in North Port, FL

Q: What is William Wagner's NPI number?

The NPI number for William Wagner is 1043594963. It was assigned to this individual provider in the NPPES registry on October 11, 2011.

Q: What is William Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for William Wagner was last updated on October 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 11, 2011

2139 PALM CT, NORTH PORT, FL 34287(859) 979-0160 Get Directions Write a Review

NPPES record last updated: October 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. William Douglas Wagner Msw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. WILLIAM DOUGLAS WAGNER MSW, LCSW (NPI 1043594963) is an individual mental health provider in North Port, Florida, licensed in Florida (SW9961) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1043594963

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. WILLIAM DOUGLAS WAGNERCredential: MSW, LCSW

Location Address2139 PALM CTNorth Port, FL 34287-5724

Mailing Address2139 Palm CtNorth Port, FL 34287-5724 · (859) 979-0160

Phone(859) 979-0160

Sole ProprietorYes

Enumeration DateOctober 11, 2011

✔ NPI 1043594963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in FL · SW9961✔ Licensed in KY · 356

2139 PALM CT, North Port, FL 34287

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Wagner's NPI number?

The NPI number for William Wagner is 1043594963. It was assigned to this individual provider in the NPPES registry on October 11, 2011.

Where is William Wagner located?

William Wagner practices at 2139 Palm Ct, North Port, FL 34287. The listed phone number is (859) 979-0160.

What is William Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for William Wagner was last updated on October 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.