MISS JENNIFER MARIE WAGGONER C8432 LCSW
NPI 1063133361
Social Worker - Clinical in Diamondhead, MS

Active since September 06, 2022
7714 MOANALUA WAY, DIAMONDHEAD, MS 39525(228) 305-0063 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Jennifer Marie Waggoner C8432 Lcsw NPPES

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

MISS JENNIFER MARIE WAGGONER C8432 LCSW (NPI 1063133361) is an individual clinical provider in Diamondhead, Mississippi, licensed in Mississippi (C8432) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1063133361
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS JENNIFER MARIE WAGGONERCredential: C8432 LCSW
Location Address7714 MOANALUA WAYDiamondhead, MS 39525-3740
Mailing Address7714 Moanalua WayDiamondhead, MS 39525-3740 · (228) 305-0063
Sole ProprietorNo
Enumeration DateSeptember 6, 2022
NPPES CertifiedSeptember 6, 2022
NPI 1063133361 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 MS · C8432
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.
7714 MOANALUA WAY, Diamondhead, MS 39525

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 Jennifer Waggoner's NPI number?

The NPI number for Jennifer Waggoner is 1063133361. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Where is Jennifer Waggoner located?

Jennifer Waggoner practices at 7714 Moanalua Way, Diamondhead, MS 39525. The listed phone number is (228) 305-0063.

What is Jennifer Waggoner'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 Jennifer Waggoner was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.