JESSICA WAGGONER LCSW
NPI 1104932938
Social Worker - Clinical in Manchester, CT

Active since August 22, 2006
587 MIDDLE TPKE E, MANCHESTER, CT 06040(860) 646-3888(860) 645-4132 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Waggoner Lcsw NPPES

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

JESSICA WAGGONER LCSW (NPI 1104932938) is an individual clinical provider in Manchester, Connecticut, licensed in Connecticut (006139) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1104932938
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA WAGGONERCredential: LCSW
Location Address587 MIDDLE TPKE EManchester, CT 06040-3731
Mailing Address995 Day Hill RdWindsor, CT 06095-1722 · (860) 646-3888 · Fax (860) 645-4132
Fax(860) 645-4132
Sole ProprietorNo
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1104932938 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 CT · 006139
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.
587 MIDDLE TPKE E, Manchester, CT 06040

Other Identifiers 1

Medicare ID-Type UnspecifiedC00520CT · Facility Medicare Number

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.

Student in an Organized Health Care Education/Training Program
587 MIDDLE TPKE E
MANCHESTER, CT 06040
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
587 MIDDLE TPKE E
MANCHESTER, CT 06040
Counselor (Mental Health)
587 MIDDLE TPKE E
MANCHESTER, CT 06040
Counselor
587 MIDDLE TPKE E
MANCHESTER, CT 06040
Nurse Practitioner (Psychiatric/Mental Health)
587 MIDDLE TPKE E
MANCHESTER, CT 06040
Counselor (Mental Health)
587 MIDDLE TPKE E
MANCHESTER, CT 06040
Counselor (Mental Health)
587 MIDDLE TPKE E
MANCHESTER, CT 06040
Social Worker
587 MIDDLE TPKE E
MANCHESTER, CT 06040

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 Jessica Waggoner's NPI number?

The NPI number for Jessica Waggoner is 1104932938. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Jessica Waggoner located?

Jessica Waggoner practices at 587 Middle Tpke E, Manchester, CT 06040. The listed phone number is (860) 646-3888.

What is Jessica 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 Jessica Waggoner was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.