MEDICARE: TRISHA KING LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6801098644	MI

General Provider Information

NPI Number	:	1427534726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRISHA KING LMSW

Provider Business Mailing Address
First Line	:	3402 MAX PAULSEN DR UNIT A
Second Line	:
City	:	MUSKEGON
State	:	MI
Zip	:	49444-3546
Country	:	US
Telephone Number	:	231-903-9789
Fax Number	:	231-202-4575

Provider Business Practice Location Address
First Line	:	4265 GRAND HAVEN RD STE 208
Second Line	:
City	:	NORTON SHORES
State	:	MI
Zip	:	49441-5546
Country	:	US
Telephone Number	:	231-447-0954
Fax Number	:	231-202-4575

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2018
Last Update Date	:	04/16/2026

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