MS. JILL DEGLER WAGGONER M.S.W.
NPI 1164578589
Social Worker - Clinical in South Bend, IN

Active since January 26, 2007
108 N MAIN ST STE 305, SOUTH BEND, IN 46601(574) 234-3515(574) 234-3565 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jill Degler Waggoner M.s.w. NPPES

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

MS. JILL DEGLER WAGGONER M.S.W. (NPI 1164578589) is an individual clinical provider in South Bend, Indiana, licensed in Indiana (34001091A) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1164578589
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JILL DEGLER WAGGONERCredential: M.S.W.
Location Address108 N MAIN ST STE 305South Bend, IN 46601-1614
Mailing Address1601 Byron DrSouth Bend, IN 46614-2804 · (574) 291-2971
Fax(574) 234-3565
Sole ProprietorYes
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1164578589 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 IN · 34001091A
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.
108 N MAIN ST STE 305, South Bend, IN 46601

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 Jill Waggoner's NPI number?

The NPI number for Jill Waggoner is 1164578589. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Jill Waggoner located?

Jill Waggoner practices at 108 N Main St Ste 305, South Bend, IN 46601. The listed phone number is (574) 234-3515.

What is Jill 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 Jill Waggoner was last updated on July 8, 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.