Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tasha Bourne, LMSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164780888

Tasha Bourne, LMSW is an Addiction (Substance Use Disorder) Counselor in Grandville, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

6105 Wilson Ave SW Ste 204
Grandville, MI 49418-9714
Phone: (616) 486-5421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801094573 (MI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1164780888
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedMay 1, 2012
Last updated in NPPESJanuary 7, 2019
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

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