KEITH A WAGGONER (NPI# 1780122432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780122432 |
| Entity Type | Individual |
| Full Name | KEITH A WAGGONER |
| Credential | LSW |
| Practice Address |
2587 Back Orrville Rd Wooster OH 44691-9523 |
| Practice Telephone | 3302649597 |
| Practice Fax Number | 3302640946 |
| Mailing Telephone | 3302649597 |
| Mailing Fax Number | 3302640946 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | S.1502449 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225015050 | Keith Waggoner | Emergency Medicine | 1824 Murdoch Ave, Parkersburg, WV 26101-3230 | 2005-12-22 |
| Street Address |
2587 BACK ORRVILLE RD |
| City | WOOSTER |
| State | OH |
| Zip Code | 44691-9523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164471082 | Anazao Community Partners | Case Management | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2006-05-08 |
| 1023618584 | Kristina M Pettorini | Case Manager/Care Coordinator | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2020-10-26 |
| 1902419922 | Kevin Joseph Lowry | Case Manager/Care Coordinator | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2020-08-28 |
| 1710598909 | Tracy Lynn Cottrell | Case Manager/Care Coordinator | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2020-08-12 |
| 1528680576 | Michelle Ann Watkins-malek | Counselor | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2020-05-13 |
| 1891317350 | James Gregory Morrison | Case Manager/Care Coordinator | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2020-05-07 |
| 1003440397 | Jamie L Shaw | Case Manager/Care Coordinator | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2020-02-26 |
| 1790330223 | Leah Rose Horner | Case Manager/Care Coordinator | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2019-08-01 |
| 1235799412 | Tracy A Bolyard | Social Worker | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2019-06-19 |
| 1750940136 | Tiesha N Henry | Case Manager/Care Coordinator | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2019-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296426 | Teddi Lynn Beun | Home Health Aide | 337 West North Street, Suite 1, Wooster, OH 44691 | 2019-07-08 |
| 1285102418 | Samantha M Rodman | Case Manager/Care Coordinator | 2858 Back Orrville Road, Wooster, OH 44691 | 2018-11-06 |
| 1205347028 | Progressive Wooster LLC | Skilled Nursing Facility | 1700 E Smithville Wester Rd, Wooster, OH 44691 | 2017-10-19 |
| 1619357563 | Michelle L Morton | Counselor | 439 N Market St Ste B, Wooster, OH 44691 | 2015-06-05 |
| 1003295502 | Walter Blair Geho | Internal Medicine | 533 Beechwood Street, Wooster, OH 44691 | 2015-05-29 |
| 1578960589 | Beth Gaubatz | Psychologist | 375 South Smyser Road, Wooster, OH 44691 | 2014-11-20 |
| 1184039729 | Diane Woodruff | Licensed Practical Nurse | 1605 Lemar Dr, Wooster, OH 44691 | 2014-06-23 |
| 1003257312 | Stacy Marie Scheibert | Licensed Practical Nurse | 639 Robinson Road, Wooster, OH 44691 | 2013-07-15 |
| 1487905972 | Judy Kropf | Counselor | 104 Spink Street, Wooster, OH 44691 | 2012-09-25 |
| 1295080752 | Brittany J Mowrer | Home Health Aide | 3570 W Smithville Western Rd, Wooster, OH 44691 | 2012-07-19 |
| Find all providers in zip 44691 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043606437 | Jonathan T Tolbert | Social Worker | 1126 Mindy Ln Apt F, Wooster, OH 44691-5439 | 2015-04-13 |
| 1811239411 | Jennifer Rose-marie Ortiz | Social Worker | 2685 Armstrong Rd Apt Z5, Wooster, OH 44691-9041 | 2013-03-21 |
| 1942547559 | Lessie Sloan | Social Worker | 4389 Overton Rd, Wooster, OH 44691-9029 | 2013-01-16 |
| 1861029241 | David Huskins | Social Worker | 2285 Benden Dr, Wooster, OH 44691-2568 | 2020-03-25 |
| 1477184430 | Madyson Risner | Social Worker | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-01-29 |
| 1487285664 | Sarah Pontsler | Social Worker | 104 Spink St, Wooster, OH 44691-3652 | 2020-01-28 |
| 1598396665 | Christine Jones | Social Worker | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-01-28 |
| 1104465848 | Rachel Elizabeth Locicero | Social Worker | 2000 Noble Dr, Wooster, OH 44691-5353 | 2019-12-28 |
| 1487297933 | Leah J Humphrey | Social Worker | 104 Spink St, Wooster, OH 44691-3652 | 2019-10-28 |
| 1659921153 | Emily Anne Engman | Social Worker | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2019-09-17 |
| Find all providers in WOOSTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.