Theresa Evans LMSW Caadc LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THERESA EVANS LMSW CAADC LLC

Practice address

3130 Logan Valley Rd
Traverse City, MI 49684-4772

Phone

(231) 409-8622

NPI assigned

May 14, 2018

Organization subpart

No

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

Authorized official

Name

Theresa A EvansNPI 1972659845

Title

LMSW

Phone

(231) 409-8622

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trillium Counseling Services Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa A Evans, MSW, LMSW

  • Clinical Social Worker
  • Traverse City, MI
  • NPI 1972659845
  Medicare reassignment NPD Authorized official
• Jana L Rockne, LPC, LMFT

  • Marriage & Family Therapist
  • Traverse City, MI
  • NPI 1508079211
  NPD (past)
• Karen Irene Schultz, MA, LPC, NCC

  • Mental Health Counselor
  • Traverse City, MI
  • NPI 1801012877
  NPD (past)

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1982194163",
    "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": "231-409-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 LOGAN VALLEY RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844772",
            "telephone_number": "231-409-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA EVANS LMSW CAADC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LMSW",
        "authorized_official_telephone_number": "231-409-8622"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972659845",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trillium Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Surgery Center
• The Surgery Center
• Carissa Mae Thelen, OTRL
• Therapy North LLC
• Theresa a Evans LMSW PLLC
• Amber Therrien
• Adrianna Margaux Thibault, MD
• Third Coast Center for Emotional Wellness PLLC
• Third Coast Chiropractic LLC
• Third Level Crisis Intervention Center, Inc.

• 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 Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.