JEFFREY WAGNER
NPI 1396424842
Social Worker - Clinical in Seattle, WA

Q: What is Jeffrey Wagner's NPI number?

The NPI number for Jeffrey Wagner is 1396424842. It was assigned to this individual provider in the NPPES registry on July 12, 2023.

Q: What is Jeffrey Wagner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Wagner was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 July 12, 2023

123 NW 36TH ST STE 210, SEATTLE, WA 98107(425) 640-7009 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2025, Jul 19, 2023, Jul 12, 2023 (3 updates tracked since 2023).

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About Jeffrey Wagner NPPES

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

JEFFREY WAGNER (NPI 1396424842) is an individual clinical provider in Seattle, Washington, licensed in Washington (LW70042194) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1396424842

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJEFFREY WAGNER

Location Address123 NW 36TH ST STE 210Seattle, WA 98107-4959

Mailing Address100 N Howard St Ste WSpokane, WA 99201-0508

Phone(425) 640-7009

Sole ProprietorYes

Enumeration DateJuly 12, 2023

Last NPPES UpdateDecember 8, 20253 updates tracked since enumeration

NPPES CertifiedDecember 8, 2025

✔ NPI 1396424842 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 WA · LW70042194

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.

123 NW 36TH ST STE 210, Seattle, WA 98107

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Other Providers at the Same Location NPPES 15

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

TYLER ALLEN VERMILYA

Social Worker (Clinical)