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

Individual provider Social Worker · NPI 1295355469

Caleb James Wisemccann, LLMSW is a Social Worker in Grand Rapids, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
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Practice location Address checks out

790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone: (616) 336-3909
Fax: (616) 336-8830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3584 Fairlanes Ave Sw Ste 2, Grandville, MI 49418-1583 — (616) 490-3869

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6801103688 (MI)

Record details

NPI number1295355469
Entity typeIndividual (Type 1)
GenderMale
Credentials LLMSW
Sole proprietorYes
NPI enumeratedApril 17, 2020
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

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