DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KELLY K WAITE LCSW

MEDICARE: KELLY K WAITE LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC011031NC

General Provider Information

NPI Number : 1558790840
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY K WAITE LCSW
Provider Business Mailing Address
First Line : 1680 HARWICK PINES ROAD
Second Line :
City : GRAYLING
State : MI
Zip : 49738
Country : US
Telephone Number : 989-344-2002
Fax Number :
Provider Business Practice Location Address
First Line : 1680 HARTWICK PINES RD
Second Line :
City : GRAYLING
State : MI
Zip : 49738-9237
Country : US
Telephone Number : 989-344-2002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2013
Last Update Date : 06/06/2025

Similar Medicare Providers

1225072986 — REBECCA L PORTA LCSW
Practice Location Address:
1680 HARTWICK PINES RD
GRAYLING, MI
49738-9237
Practice Phone: 989-344-2002
Practice Fax:
1992912802 — GRAYLING FAMILY DENTISTRY
Practice Location Address:
1664 HARTWICK PINES RD
GRAYLING, MI
49738-9237
Practice Phone: 989-348-4300
Practice Fax: 989-344-8055
1780931733 — SAGINAW VAMC
Practice Location Address:
1680 HARTWICK PINES RD
GRAYLING, MI
49738-9237
Practice Phone: 608-821-7200
Practice Fax: 608-821-7658
1356947212 — STEPHANIE KOLO PA-C
Practice Location Address:
1680 HARTWICK PINES RD
GRAYLING, MI
49738-9237
Practice Phone: 989-302-2002
Practice Fax:
1821746207 — MRS. CARRIE FRANCES SIMS FNP-C
Practice Location Address:
1680 HARTWICK PINES RD
GRAYLING, MI
49738-9237
Practice Phone: 989-344-2002
Practice Fax: 989-344-2005
1265139380 — LOGAN TUTTON FULK
Practice Location Address:
1680 HARTWICK PINES RD
GRAYLING, MI
49738-9237
Practice Phone: 989-344-2002
Practice Fax:

Directions to “ KELLY K WAITE LCSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.