Individual provider · Type 1 NPI

Addison Puck, LLMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1295648293 Active

Practice location

1115 Ball Ave NE
Grand Rapids, MI 49505-5904

Call (616) 456-6571 Map

Mailing address

1446 W Clark Rd
Dewitt, MI 48820-9629

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851121812 (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 1295648293

Addison Puck, LLMSW's National Provider Identifier is 1295648293, issued on Sep 23, 2026. 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 Sep 23, 2026.