MEDICARE: THERESA EVANS LMSW CAADC LLC

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

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	:	1982194163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERESA EVANS LMSW CAADC LLC

Provider Business Mailing Address
First Line	:	2506 HOLLAND CIR
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49685-7410
Country	:	US
Telephone Number	:	231-409-8622
Fax Number	:

Provider Business Practice Location Address
First Line	:	3130 LOGAN VALLEY RD
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-4772
Country	:	US
Telephone Number	:	231-409-8622
Fax Number	:

Authorized Official
Title or Position	:	LMSW
Name	:	THERESA A EVANS
Credential	:
Telephone Number	:	231-409-8622

Provider Enumeration Date	:	05/14/2018
Last Update Date	:	02/09/2026

Similar Medicare Providers

1972659845 — MS. THERESA A EVANS MSW, LMSW
Practice Location Address:

3130 LOGAN VALLEY RD
TRAVERSE CITY, MI
49684-4772

Practice Phone: 231-409-8622
Practice Fax:

1649238098 — DR. FLORA ERMENIA BIANCALANA MD
Practice Location Address:

3189 LOGAN VALLEY RD
TRAVERSE CITY, MI
49684-4772

Practice Phone: 231-932-1988
Practice Fax: 231-932-7693

1760433122 — ANNE THERESE HUGHES MSN FNP
Practice Location Address:

3189 LOGAN VALLEY RD
TRAVERSE CITY, MI
49684-4772

Practice Phone: 231-932-1988
Practice Fax: 231-932-7693

1215988845 — RISING STAR WELLNESS CENTER PLC
Practice Location Address:

3189 LOGAN VALLEY RD
TRAVERSE CITY, MI
49684-4772

Practice Phone: 231-932-1988
Practice Fax:

1760434682 — PAULA SUSAN MEYER FNP-C
Practice Location Address:

3189 LOGAN VALLEY RD
TRAVERSE CITY, MI
49684-4772

Practice Phone: 231-932-1988
Practice Fax: 231-932-7693

1124123971 — IN-HOME HEALTH CARE SERVICES INCORPORATED
Practice Location Address:

3229 LOGAN VALLEY RD
TRAVERSE CITY, MI
49684-4772

Practice Phone: 231-941-4005
Practice Fax:

Directions to “THERESA EVANS LMSW CAADC LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.