MEDICARE: TRISHA MICHELLE SVERNS 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	104100000X	Social Worker	6801078498	MI
2	1041C0700X	Clinical Social Worker	6801078498	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740375815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRISHA MICHELLE SVERNS LMSW

Provider Business Mailing Address
First Line	:	9390 52ND ST SE
Second Line	:
City	:	ADA
State	:	MI
Zip	:	49301-8303
Country	:	US
Telephone Number	:	616-868-6492
Fax Number	:

Provider Business Practice Location Address
First Line	:	9390 52ND ST SE
Second Line	:
City	:	ADA
State	:	MI
Zip	:	49301-8303
Country	:	US
Telephone Number	:	616-227-0796
Fax Number	:

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	05/11/2026

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