ELISE TRIM (NPI# 1093327355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093327355 |
| Entity Type | Individual |
| Full Name | ELISE TRIM |
| Practice Address |
4433 Byron Center Ave Sw Wyoming MI 49519-4844 |
| Mailing Address |
3127 Hoehn St Nw Grand Rapids MI 49504-2411 |
| Practice Telephone | 6162837187 |
| Mailing Telephone | 6162837187 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801107581 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE OF MICHIGAN | 6801107581 | 01 |
| Street Address |
4433 BYRON CENTER AVE SW |
| City | WYOMING |
| State | MI |
| Zip Code | 49519-4844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992884332 | Buenaventura Carmen Pereyra | Specialist | 4433 Byron Center Ave Sw, Pediatrics Primary Care, Wyoming, MI 49519-4844 | 2006-11-05 |
| 1194997825 | Pediatrics Primary Care Pllc | Clinic/Center | 4433 Byron Center Ave Sw, Pediatrics Primary Care, Wyoming, MI 49519 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
| Find all providers in zip 49519 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213227 | Angela Hastings | Social Worker | 2751 Stonebluff Dr Sw, Wyoming, MI 49519-6101 | 2020-10-20 |
| 1205319811 | Pooja Patel | Social Worker | Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2018-09-10 |
| 1144718586 | Shynequa Latrice Freeman | Social Worker | 550 34th St Sw Apt 104, Wyoming, MI 49509-3060 | 2018-05-01 |
| 1497265896 | Veronica Sue Cook | Social Worker | 1123 Buckingham St Sw, Wyoming, MI 49509-2832 | 2017-10-11 |
| 1528592771 | Ethan Gregory Cook | Social Worker | 5729 Nancy Dr Sw, Wyoming, MI 49418-9789 | 2017-04-14 |
| 1063804359 | Sharmane Sutton | Social Worker | 3647 Bluebird Ave Sw, Wyoming, MI 49519-3166 | 2015-02-24 |
| 1578996856 | Karen Marie Irving | Social Worker | 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2013-08-09 |
| 1427390699 | Krysta Beedon | Social Worker | 2602 Avon Ave Sw, Wyoming, MI 49519-2307 | 2013-03-26 |
| 1619294634 | Eda Leach | Social Worker | 1746 Den Hertog St Sw, Wyoming, MI 49519-3337 | 2010-04-29 |
| 1407032535 | Pamela Doniell Young | Social Worker | 71 Downey Oak Cir, Wyoming, DE 19934-2200 | 2008-01-18 |
| Find all providers in WYOMING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.