Jill Waggoner, M.S.W.
NPI 1164578589 · Clinical Social Worker · South Bend, IN
Jill Waggoner, M.S.W. is a Clinical Social Worker provider in South Bend, IN (NPI 1164578589).
Provider details
- NPI number
- 1164578589
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- M.S.W.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 34001091A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jill Waggoner's NPI number?
- Jill Waggoner's National Provider Identifier (NPI) is 1164578589, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jill Waggoner's specialty?
- Jill Waggoner is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jill Waggoner located?
- Jill Waggoner's practice location on file with NPPES is 108 N Main St Ste 305, South Bend, IN 46601-1614.
- What is Jill Waggoner's phone number?
- The practice phone number listed in the NPPES registry for Jill Waggoner is (574) 234-3515.
- Is Jill Waggoner's NPI active?
- Yes — Jill Waggoner's NPI (1164578589) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.