KATELYN NICOLE BOUCKAERT LLMSW
NPI 1487390886
Social Worker - Clinical in Bay City, MI

Q: What is Katelyn Bouckaert's NPI number?

The NPI number for Katelyn Bouckaert is 1487390886. It was assigned to this individual provider in the NPPES registry on May 9, 2022.

Q: What is Katelyn Bouckaert's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Katelyn Bouckaert was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since May 09, 2022

1009 WASHINGTON AVE, BAY CITY, MI 48708(989) 928-3566(989) 391-9596 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2023, May 9, 2022 (2 updates tracked since 2022).

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About Katelyn Nicole Bouckaert Llmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN NICOLE BOUCKAERT LLMSW (NPI 1487390886) is an individual clinical provider in Bay City, Michigan, licensed in Michigan (6851116233) and active in the NPI registry since May 2022. She maintains a secondary practice location in Corunna.

NPPES Registry Identity

NPI1487390886

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKATELYN NICOLE BOUCKAERTCredential: LLMSW

Location Address1009 WASHINGTON AVEBay City, MI 48708-5705

Mailing Address1009 Washinton AveBay City, MI 48708-5175 · (989) 928-3566 · Fax (989) 391-9596

Phone(989) 928-3566

Fax(989) 391-9596

Sole ProprietorNo

Enumeration DateMay 9, 2022

Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration

NPPES CertifiedJuly 5, 2023

✔ NPI 1487390886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6851116233

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1009 WASHINGTON AVE, Bay City, MI 48708

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Secondary Practice Location 1

Location 1211 N Shiawassee StCorunna, MI 48817-1444 · Phone (989) 928-3566

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID MIHALY VARGA LMSW

Social Worker (Clinical)