IndividualActive
Richard Vanwagoner, LBSW
NPI 1790234151 · Social Worker · Jackson, MI
Richard Vanwagoner, LBSW is a Social Worker provider in Jackson, MI (NPI 1790234151).
Provider details
- NPI number
- 1790234151
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LBSW
- Sex
- Male
- Sole proprietor
- No
- License
- 6802020984 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
216 W Morrell St Ste 300
Jackson, MI 49203-2351
Phone: (517) 782-0380
Fax: (517) 782-6275
Street-level locationGet directions
Mailing address
3366 Reynolds Rd
Jackson, MI 49201-9398
Registry dates
- Enumerated
- 2016-09-27
- Last updated
- 2016-09-27
Frequently asked questions
- What is Richard Vanwagoner's NPI number?
- Richard Vanwagoner's National Provider Identifier (NPI) is 1790234151, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Vanwagoner's specialty?
- Richard Vanwagoner is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Richard Vanwagoner located?
- Richard Vanwagoner's practice location on file with NPPES is 216 W Morrell St Ste 300, Jackson, MI 49203-2351.
- What is Richard Vanwagoner's phone number?
- The practice phone number listed in the NPPES registry for Richard Vanwagoner is (517) 782-0380.
- Is Richard Vanwagoner's NPI active?
- Yes — Richard Vanwagoner's NPI (1790234151) is active in the NPPES registry as of the last update on 2016-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.