LAURA JEAN WAGNER (LMSW) – Clinical Social Worker, NPI 1417278482

LAURA JEAN WAGNER (LMSW) is a healthcare provider. based in Muskegon, Michigan. specializing in Clinical Social Worker. They hold the professional credentials LMSW. They hold a License No. 6801089376 (MI). The NPI Number for LAURA JEAN WAGNER (LMSW) is 1417278482

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
LAURA JEAN WAGNER (LMSW)
NPI
1417278482
Phone
(231) 737-1335
Address
2700 BAKER ST FL 3
Enumeration Date
14 June 2010
Last Update Date
2 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2313758065
Graduation Year
2007 (19 years ago)
PAC ID
4082730213
Group Practice PAC ID
3577861749
Professional Enrollment ID
I20100924001328
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for LAURA JEAN WAGNER (LMSW)

  • 2700 BAKER ST FL 3

    MUSKEGON, MI 494442157

    Phone: (231) 737-1335

    Fax: (231) 737-0534

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49444)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577861749View full group profile
NameSpecialtyState
MS. DANA JO COCHRANE - HOEKSTRA (P.A.)
-MI
KADENCE EDELBLUT
-MI
LETIZIA MARIE CHARLESTON (LMSW)
-MI

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Frequently asked questions

Is LAURA JEAN WAGNER (LMSW) listed with a National Provider Identifier?
Yes — LAURA JEAN WAGNER (LMSW) has NPI 1417278482 on file in the registry.
Would LAURA JEAN WAGNER (LMSW) appear as active to a payer?
You can treat LAURA JEAN WAGNER (LMSW) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for LAURA JEAN WAGNER (LMSW)?
At a glance, LAURA JEAN WAGNER (LMSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LAURA JEAN WAGNER (LMSW)?
Travel planning: use Muskegon, Michigan as the reference point for LAURA JEAN WAGNER (LMSW), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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