Theresa a Evans LMSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THERESA A EVANS LMSW PLLC

Practice address

3301 Veterans Dr Ste 114
Traverse City, MI 49684-4564

Phone

(231) 421-5521

NPI assigned

Jul 5, 2017

Organization subpart

No

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

Authorized official

Name

Theresa Anne Evans, LMSW

Title

Clinical Social Worker

Phone

(231) 421-5521

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499212800000",
    "number": "1639690233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 HOLLAND CIR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496857410",
            "telephone_number": "231-943-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 VETERANS DR STE 114",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844564",
            "telephone_number": "231-421-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA A EVANS LMSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2017-07-05",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "231-421-5521",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1972659845",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Studio Art Therapy & Counseling
• The Surgery Center
• The Surgery Center
• Carissa Mae Thelen, OTRL
• Therapy North LLC
• Theresa Evans LMSW Caadc LLC
• Amber Therrien
• Adrianna Margaux Thibault, MD
• Third Coast Center for Emotional Wellness PLLC
• Third Coast Chiropractic LLC

• Clinical Social Worker in Traverse City, MI
• Providers in Traverse City, 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 Jul 5, 2017; 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.