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MR. PATRICK JOSEPH WAGNER LCSW
NPI 1053680082
Social Worker - Clinical in Louisville, KY

Active since December 20, 2011
1015 DORSEY LN, LOUISVILLE, KY 40223(502) 245-1576(502) 245-8973 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Patrick Joseph Wagner Lcsw NPPES

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

MR. PATRICK JOSEPH WAGNER LCSW (NPI 1053680082) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (3950) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1053680082
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. PATRICK JOSEPH WAGNERCredential: LCSW
Location Address1015 DORSEY LNLouisville, KY 40223-2612
Mailing Address1015 Dorsey LnLouisville, KY 40223-2612 · (502) 245-1576 · Fax (502) 245-8973
Phone(502) 245-1576
Fax(502) 245-8973
Sole ProprietorNo
Enumeration DateDecember 20, 2011
Last NPPES UpdateFebruary 5, 2024
NPPES CertifiedFebruary 5, 2024
✔ NPI 1053680082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · 3950
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1015 DORSEY LN, Louisville, KY 40223
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAQUEL ELIZABETH BARRY LCSW
Counselor (Mental Health)
1015 DORSEY LN
LOUISVILLE, KY 40223
Jefferson County (502) 245-1576
LISA PURDY LCSW
Social Worker (Clinical)
1015 DORSEY LN
LOUISVILLE, KY 40223
Jefferson County (859) 468-6232
JAIME FLORES
Behavior Analyst
1015 DORSEY LN
LOUISVILLE, KY 40223
Jefferson County (502) 245-1576
BRENDA SHORT
Social Worker (Clinical)
1015 DORSEY LN
LOUISVILLE, KY 40223
Jefferson County (502) 271-4657
BRANDI WHITAKER LPCC
Counselor (Mental Health)
1015 DORSEY LN
LOUISVILLE, KY 40223
Jefferson County (502) 245-1576
TIFFANY FARRIS
Social Worker (Clinical)
1015 DORSEY LN
LOUISVILLE, KY 40223
Jefferson County (502) 245-1576
MS. LISA JANE MONROE LCSW
Social Worker (Clinical)
1015 DORSEY LN
LOUISVILLE, KY 40223
Jefferson County (502) 245-1576
KASEY WELLINGHURST
Occupational Therapist
1015 DORSEY LN
LOUISVILLE, KY 40223
Jefferson County (502) 245-1576

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 Patrick Wagner's NPI number?

The NPI number for Patrick Wagner is 1053680082. It was assigned to this individual provider in the NPPES registry on December 20, 2011.

Where is Patrick Wagner located?

Patrick Wagner practices at 1015 Dorsey Ln, Louisville, KY 40223. The listed phone number is (502) 245-1576.

What is Patrick Wagner's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Patrick Wagner was last updated on February 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.