Theresa Evans Lmsw Caadc LLC
Social Worker, Clinical in Traverse City, MI. Organization (NPI-2).
NPI number1982194163
StatusActive
Last updated in NPPESFeb 9, 2026
Details
- NPI
- 1982194163
- Entity type
- Organization (NPI-2)
- Legal business name
- Theresa Evans Lmsw Caadc LLC
- Organization subpart
- No
- Enumeration date
- May 14, 2018
- Certification date
- Feb 9, 2026
- Last updated
- Feb 9, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Other names
- Trillium Counseling Services (Doing Business As)
Practice location
3130 Logan Valley RdTraverse City, MI 49684-4772
Phone 231-409-8622
Mailing address
2506 Holland CirTraverse City, MI 49685-7410
Phone 231-409-8622
Authorized official
Theresa A Evans
Lmsw
2314098622
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