Individual provider Active NPI

Evelyn Artemis Knez, LCSWA

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1053755884
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P007787 Issued in NC
Practice address
6620 Rockglen Way Apt 602
Raleigh, NC 27615-7567
Phone
(616) 308-4344
NPI assigned
Apr 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P007787 NC Primary

Addresses

Primary practice location

6620 Rockglen Way Apt 602
Raleigh, NC 27615-7567

Mailing address

6620 Rockglen Way Apt 602
Raleigh, NC 27615-7567
Phone (616) 308-4344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180504001357 NC Practitioner - Clinical Social Worker 2769746478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1788 Heritage Ctr Dr
Suite 202
Wake Forest, NC 27587-3972
Phone (919) 298-0166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P007787NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Solaz, LLC CurrentSince Feb 14, 2018 Accepting new patients
Santana Therapy & Counseling, PLLC Clinical CurrentSince Dec 6, 2019 Accepting new patients

Locations

2231 E Millbrook Rd
Ste 101
Raleigh, NC 27604
Phone (919) 307-8165

1788 Heritage Center Dr
Ste 202
Wake Forest, NC 27587
Phone (919) 298-0166

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1053755884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 ROCKGLEN WAY APT 602",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276157567",
            "telephone_number": "616-308-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 ROCKGLEN WAY APT 602",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276157567",
            "telephone_number": "616-308-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEZ",
        "first_name": "EVELYN",
        "middle_name": "ARTEMIS",
        "name_prefix": "Mrs.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.