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

Mr. Richard J Vanwagoner, LBSW

Individual provider Social Worker · NPI 1790234151

Mr. Richard J Vanwagoner, LBSW is a Social Worker in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016

Practice location Address checks out

216 W Morrell St Ste 300
Jackson, MI 49203-2351
Phone: (517) 782-0380
Fax: (517) 782-6275
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6802020984 (MI)

Record details

NPI number1790234151
Entity typeIndividual (Type 1)
GenderMale
Credentials LBSW
Sole proprietorNo
NPI enumeratedSeptember 27, 2016
Last updated in NPPESSeptember 27, 2016

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