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MS. LICIA MARIA THOMAS-WAGONER LCSW
NPI 1750553384
Social Worker - Clinical in North Chesterfield, VA

Active since March 24, 2008
9409 HULL STREET RD, SUITE D1, NORTH CHESTERFIELD, VA 23236(804) 745-2225(804) 745-2242 Get Directions Write a Review

NPPES record last updated: November 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Licia Maria Thomas-wagoner Lcsw NPPES

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

MS. LICIA MARIA THOMAS-WAGONER LCSW (NPI 1750553384) is an individual clinical provider in North Chesterfield, Virginia, licensed in Virginia (0904006772) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1750553384
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. LICIA MARIA THOMAS-WAGONERCredential: LCSW
Location Address9409 HULL STREET RD, SUITE D1North Chesterfield, VA 23236-1200
Mailing Address9409 Hull Street Rd, Suite D1North Chesterfield, VA 23236-1200 · (804) 745-2225 · Fax (804) 745-2242
Phone(804) 745-2225
Fax(804) 745-2242
Sole ProprietorNo
Enumeration DateMarch 24, 2008
Last NPPES UpdateNovember 12, 2013
✔ NPI 1750553384 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 VA · 0904006772
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.
9409 HULL STREET RD, North Chesterfield, VA 23236
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Other Identifiers 1

Medicaid004945352VA

Other Providers at the Same Location NPPES 4

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

BALANCE COUNSELING, LLC
Social Worker (Clinical)
9409 HULL STREET RD, SUITE D1
NORTH CHESTERFIELD, VA 23236
Chesterfield County (804) 745-2225
MS. BRITNEY N CHACEY LCSW
Social Worker (Clinical)
9409 HULL STREET RD, SUITE D-1
RICHMOND, VA 23236
Chesterfield County (804) 745-2225
DR. PATRICIA ANN JONES PH.D.
Psychologist (Clinical)
9409 HULL STREET RD, SUITE D-1
RICHMOND, VA 23236
Chesterfield County (804) 745-2225
AMY K. KNOWLES LCSW
Social Worker (Clinical)
9409 HULL STREET RD, SUITE D-1
RICHMOND, VA 23236
Chesterfield County (804) 745-2225

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 Licia Thomas-wagoner's NPI number?

The NPI number for Licia Thomas-wagoner is 1750553384. It was assigned to this individual provider in the NPPES registry on March 24, 2008.

Where is Licia Thomas-wagoner located?

Licia Thomas-wagoner practices at 9409 Hull Street Rd Suite D1, North Chesterfield, VA 23236. The listed phone number is (804) 745-2225.

What is Licia Thomas-wagoner'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 Licia Thomas-wagoner was last updated on November 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.