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

Mackenzie Taylor Wagner, LLBSW

Individual provider Social Worker · NPI 1770082828

Mackenzie Taylor Wagner, LLBSW is a Social Worker in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1111 40th St SE
Grand Rapids, MI 49508-6084
Phone: (616) 426-7848
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1770082828
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLBSW
Sole proprietorYes
NPI enumeratedFebruary 5, 2018
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023

Other providers in Grand Rapids