Individual provider · Type 1 NPI

Haley Ann Wolfgram, LMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1164099719 Active

Practice location

2460 Burton St SE Ste 301
Grand Rapids, MI 49546-4800

Call (517) 507-5892 Map

Fax (517) 258-2951

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X6851109990 (MI)
Clinical Social Worker Primary 1041C0700X6801117150 (MI)

Clinical Social Worker: 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 interpers…

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About NPI 1164099719

Haley Ann Wolfgram, LMSW's National Provider Identifier is 1164099719, issued on Jun 10, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 12, 2026.