HALEY ANN WOLFGRAM LMSW
NPI 1164099719
Social Worker - Clinical in Grand Rapids, MI
About Haley Ann Wolfgram Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HALEY ANN WOLFGRAM LMSW (NPI 1164099719) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801117150) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Haley Ann Wolfgram Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Haley Wolfgram reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49548
- Reassigned Medicare billing, Michigan enrollment
- 261 clinicians in this Medicare group
Okemos, MI 48864
- Reassigned Medicare billing, Michigan enrollment
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Haley Wolfgram's NPI number?
The NPI number for Haley Wolfgram is 1164099719. It was assigned to this individual provider in the NPPES registry on June 10, 2021.
Where is Haley Wolfgram located?
Haley Wolfgram practices at 2460 Burton St SE Ste 301, Grand Rapids, MI 49546. The listed phone number is (517) 507-5892.
What is Haley Wolfgram's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Haley Wolfgram enrolled in Medicare?
Yes. Haley Wolfgram is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Haley Wolfgram's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Haley Wolfgram reassigns Medicare benefits to 2 organizations: Pine Rest Christian Mental Health Services (Grand Rapids, MI) and Spring Forest Counseling LLP (Okemos, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Haley Wolfgram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Haley Wolfgram accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Haley Wolfgram as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Haley Wolfgram was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Haley Ann Wolfgram, LMSW · NPI 1164099719
Clinical provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since June 10, 2021.
## Identity
- **NPI:** 1164099719 (Entity type: Individual)
- **Enumerated:** June 10, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801117150 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2460 BURTON ST SE STE 301, Grand Rapids, MI 49546-4800
- **Phone:** (517) 507-5892 · **Fax:** (517) 258-2951
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Pine Rest Christian Mental Health Services (NPI 1922019157, Grand Rapids, MI); Spring Forest Counseling LLP (NPI 1841744299, Okemos, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164099719) · Data from the CMS NPPES public registry.