Individual provider Active NPI

Sheila Renee Evans, LMSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1043543374
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091220 Issued in MI
Practice address
13575 Lesure St
Detroit, MI 48227-3131
Phone
(313) 493-4410
Fax
(313) 493-4415
NPI assigned
Sep 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801091220 MI
Addiction (Substance Use Disorder) Counselor 101YA0400X 6801091220 MI
Clinical Social Worker 1041C0700X 6801091220 MI Primary

Addresses

Primary practice location

13575 Lesure St
Detroit, MI 48227-3131

Mailing address

15734 Whitcomb St
Detroit, MI 48227-2667
Phone (313) 333-7881

Other identifiers 1

IdentifierTypeStateIssuer
6801091220OtherMISTATE OF MI LICENSE

Other names 1

  • Sheila Renee Barnes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090929000132 MI Practitioner - Clinical Social Worker 4587710843 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801091220MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Clinical CurrentSince Aug 6, 2024 Accepting new patients
Henry Ford Health System CurrentSince Aug 6, 2024 Accepting new patients

Locations

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

1 Ford Pl
Ste 1C
Detroit, MI 48202
Phone (313) 874-3094

Interoperability endpoints

  • Direct secure messaging: sevans1031953@direct.hfhs.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1043543374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15734 WHITCOMB ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272667",
            "telephone_number": "313-333-7881",
            "fax_number": "313-493-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 LESURE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273131",
            "telephone_number": "313-493-4410",
            "fax_number": "313-493-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SHEILA",
        "middle_name": "RENEE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801091220",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6801091220",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MI LICENSE",
            "identifier": "6801091220",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "BARNES",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.