Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LAURA WAGNER LLMSW
NPI 1790691194
Social Worker - Clinical in Petoskey, MI

Active since August 24, 2026
3890 CHARLEVOIX RD STE 306, PETOSKEY, MI 49770(231) 442-0886 Get Directions Write a Review

NPPES record added: August 29, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Laura Wagner Llmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA WAGNER LLMSW (NPI 1790691194) is an individual clinical provider in Petoskey, Michigan, licensed in Michigan (6851121709) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1790691194
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLAURA WAGNERCredential: LLMSW
Location Address3890 CHARLEVOIX RD STE 306Petoskey, MI 49770-8423
Mailing Address900 Emmet St Apt 313Petoskey, MI 49770-2990 · (269) 903-5552
Sole ProprietorNo
Enumeration DateAugust 24, 2026
Last NPPES UpdateAugust 29, 2026
NPPES CertifiedAugust 29, 2026
NPI 1790691194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6851121709
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3890 CHARLEVOIX RD STE 306, Petoskey, MI 49770

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
3890 CHARLEVOIX RD STE 306
PETOSKEY, MI 49770
Counselor (Mental Health)
3890 CHARLEVOIX RD STE 306
PETOSKEY, MI 49770
Counselor (Mental Health)
3890 CHARLEVOIX RD STE 306
PETOSKEY, MI 49770
Counselor (Professional)
3890 CHARLEVOIX RD STE 306
PETOSKEY, MI 49770
Social Worker (Clinical)
3890 CHARLEVOIX RD STE 306
PETOSKEY, MI 49770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Wagner's NPI number?

The NPI number for Laura Wagner is 1790691194. It was assigned to this individual provider in the NPPES registry on August 24, 2026.

Where is Laura Wagner located?

Laura Wagner practices at 3890 Charlevoix Rd Ste 306, Petoskey, MI 49770. The listed phone number is (231) 442-0886.

What is Laura Wagner's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Laura Wagner was last updated on August 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.