Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Willow Waters Therapy

Organization Social Worker · NPI 1326899220

Willow Waters Therapy is a Social Worker in Grand Rapids, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

103 College Ave SE
Grand Rapids, MI 49503-5921
Phone: (616) 466-4776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1326899220
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Kim Vandergriend — Provider · (616) 466-4776
NPI enumeratedMarch 28, 2024
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024
Mailing address103 College Ave Se, Grand Rapids, MI 49503-5921

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