Alex Wauldron, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801118980 Issued in MI

Practice address

3300 Washtenaw Ave Ste 260
Ann Arbor, MI 48104-5184

Phone

(734) 277-7565

NPI assigned

Nov 29, 2024

Last updated

Oct 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Al Wauldron Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1639995137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 BUSHWICK AVE APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112212555",
            "telephone_number": "989-289-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WASHTENAW AVE STE 260",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045184",
            "telephone_number": "734-277-7565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2307 Shelby Ave",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481033803",
            "country_code": "US",
            "telephone_number": "517-292-4098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAULDRON",
        "first_name": "ALEX",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-29",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801118980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AL",
            "last_name": "WAULDRON",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jason Alexander Watts, MD PHD
• Kailani Watts
• Mya M Watts
• Susan Elisabeth Watts, LMSW
• Allison Waugh, BCBA
• Rachel Brianne Way, MSW, LMSW
• Susan Elizabeth Way, CNM
• Max Theodore Wayne, MD
• Susan Booth Wayrynen, LBSW
• Mikeal David Wdowiak, PA-C

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.