Autumn Wagoner, LISW
NPI 1962875245 · Clinical Social Worker · Canton, OH
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Autumn Wagoner, LISW is a Clinical Social Worker provider in Canton, OH (NPI 1962875245).
Provider details
- NPI number
- 1962875245
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LISW
- Sex
- Female
- Sole proprietor
- No
- License
- I.2506755 (OH)
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
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Additional practice locations (3)
- 405 S Linden AveAlliance, OH 44601-3035Phone: (330) 433-6075
- 1801 Schneider St NeCanton, OH 44721-3349Phone: (330) 470-4061
- 919 2nd St NeCanton, OH 44704-1132Phone: (330) 454-7917Fax: (330) 454-7917
Registry dates
- Enumerated
- 2015-11-09
- Last updated
- 2025-10-09
- Certified
- 2025-10-09
Frequently asked questions
- What is Autumn Wagoner's NPI number?
- Autumn Wagoner's National Provider Identifier (NPI) is 1962875245, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Autumn Wagoner's specialty?
- Autumn Wagoner is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Autumn Wagoner located?
- Autumn Wagoner's practice location on file with NPPES is 4641 Fulton Dr Nw, Canton, OH 44718-2384.
- What is Autumn Wagoner's phone number?
- The practice phone number listed in the NPPES registry for Autumn Wagoner is (330) 433-6075.
- Does Autumn Wagoner accept Medicare?
- Autumn Wagoner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Autumn Wagoner's NPI active?
- Yes — Autumn Wagoner's NPI (1962875245) is active in the NPPES registry as of the last update on 2025-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.