Haley Ann Wolfgram, LMSW
Social Worker, Clinical in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1164099719
StatusActive
Last updated in NPPESJan 12, 2026
Details
- NPI
- 1164099719
- Entity type
- Individual (NPI-1)
- Name
- Haley Ann Wolfgram
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2021
- Certification date
- Jan 12, 2026
- Last updated
- Jan 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801117150 | MI | Yes |
| 104100000X | Social Worker | 6851109990 | MI |
Practice location
2460 Burton St Se Ste 301Grand Rapids, MI 49546-4800
Phone 517-507-5892 · Fax 517-258-2951
Mailing address
2460 Burton St Se Ste 301Grand Rapids, MI 49546-4800
Phone 517-507-5832 · Fax 517-258-2951
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