Individual provider Active NPI

Trisha Marie Waun, LMSW, CAADC

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1629218698
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090999 Issued in MI
Practice address
100 Cherry St SE
Grand Rapids, MI 49503-4526
Phone
(616) 965-8200
NPI assigned
Mar 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801090999 MI Primary

Addresses

Primary practice location

100 Cherry St SE
Grand Rapids, MI 49503-4526

Mailing address

100 Cherry St SE
Grand Rapids, MI 49503-4526
Phone (616) 965-8200

Other practice location 1

1101 Ball Ave NE
Grand Rapids, MI 49505-5904
Phone (616) 456-6571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190729003380 MI Practitioner - Clinical Social Worker 7315273398 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trisha Waun LMSW Counseling & Therapy Services LLC Clinical CurrentSince Jan 20, 2025 Accepting new patients
Cherry Street Services, Inc. CurrentSince Jul 15, 2019 Accepting new patients
Telebehavioral Health US Clinical CurrentSince Apr 1, 2020 Accepting new patients
Cherry Street Services, Inc Clinical CurrentSince Jul 15, 2019 Accepting new patients
Arbor Circle Corporation Past Accepting new patients
Arbor Circle Corporation Clinical PastSince Feb 14, 2011 Accepting new patients
Cherry Street Services Inc PastSince Mar 29, 2020 Accepting new patients
Carla Miller Ma MSW Clinical PastSince Apr 1, 2020 Accepting new patients
Cherry Street Services, Inc. Past Accepting new patients
Arbor Circle Corporation Past Accepting new patients

Locations

204 E Muskegon St
Cedar Springs, MI 49319
Phone (616) 696-1203

5270 Northland Dr NE
Grand Rapids, MI 49525
Phone (616) 466-4266

2055 Rosewood Ave SE
Grand Rapids, MI 49506
Phone (616) 776-5110

1400 Leonard St NE
Grand Rapids, MI 49505
Phone (616) 774-0633

550 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 235-7272

1800 Tremont Blvd NW
Grand Rapids, MI 49504
Phone (616) 791-6593

100 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 965-8209

50 35th St SW
Grand Rapids, MI 49548
Phone (616) 776-5110

421 Fountain St NE
Grand Rapids, MI 49503
Phone (616) 776-5120

2135 Buchanan Ave SW
Grand Rapids, MI 49507
Phone (616) 247-3638

2125 Wrenwood St SW
Ofc
Wyoming, MI 49519
Phone (616) 530-7590

Interoperability endpoints

  • Direct secure messaging: trisha.waun.p1@direct.cherryhealth.nextgenshare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1629218698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHERRY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034526",
            "telephone_number": "616-965-8200",
            "fax_number": "616-940-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHERRY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034526",
            "telephone_number": "616-965-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Ball Ave NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495055904",
            "country_code": "US",
            "telephone_number": "616-456-6571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAUN",
        "first_name": "TRISHA",
        "middle_name": "MARIE",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2024-10-16",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.