Caitlin Trezise

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801118439 Issued in MI

Practice address

7791 Byron Center Ave SW
Byron Center, MI 49315-8412

Phone

(616) 499-4711

NPI assigned

May 29, 2024

Last updated

Dec 13, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1205676103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 SWANSEA DR SE # QC2850",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7791 BYRON CENTER AVE SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158412",
            "telephone_number": "616-499-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREZISE",
        "first_name": "CAITLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801118439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Grace Timmer
• Timothy J. Tobolic, MD, PLLC
• Kaitlyn Marie Tobeler, LLBSW QIDP
• Timothy Joseph Tobolic, M.D.
• Thaovy Mai Tran, RPH
• Trilogy Healthcare of Kent LLC (The Oaks at Byron Center)
• Stephanie Trombley, MS, OTR/L
• Mary Beth Tupper, MD
• Janice Marie Twesten, LMFT
• Bria Umlor, CCHW

• Clinical Social Worker in Byron Center, MI
• Providers in Byron Center, 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 Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.