Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Nicole Wagner, MLSW

Individual provider Social Worker · NPI 1366849473

Jacqueline Nicole Wagner, MLSW is a Social Worker in Benton Harbor, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014

Practice location Address checks out

1613 M 139
Benton Harbor, MI 49022-5748
Phone: (269) 934-0716
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6801097554 (MI)

Record details

NPI number1366849473
Entity typeIndividual (Type 1)
GenderFemale
Credentials MLSW
Sole proprietorNo
NPI enumeratedDecember 4, 2014
Last updated in NPPESJanuary 31, 2018

Other providers in Benton Harbor