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

Katelyn Nicole Bouckaert, LLMSW

Individual provider Clinical Social Worker · NPI 1487390886

Katelyn Nicole Bouckaert, LLMSW is a Clinical Social Worker in Bay City, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

1009 Washington Ave
Bay City, MI 48708-5705
Phone: (989) 928-3566
Fax: (989) 391-9596
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 211 N Shiawassee St, Corunna, MI 48817-1444 — (989) 928-3566

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6851116233 (MI)

Record details

NPI number1487390886
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedMay 9, 2022
Last updated in NPPESJuly 12, 2023
Certification dateJuly 5, 2023

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