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

Nicole Rae Waugh, LLMSW

Individual provider Social Worker · NPI 1205411956

Nicole Rae Waugh, LLMSW is a Social Worker in Grand Rapids, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

300 68th St SE
Grand Rapids, MI 49548-6927
Phone: (616) 455-5000
Fax: (248) 281-6459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 346 68th St Sw, Kentwood, MI 49548-7179 — (616) 202-5161

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6851116582 (MI)
Technician/Technologist Taxonomy 156F00000X

Record details

NPI number1205411956
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedMarch 15, 2021
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023

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