Dawn C Evans, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I.2405512 Issued in OH

Practice address

12896 Grey St
Logan, OH 43138-9638

Phone

(740) 385-6354

NPI assigned

May 15, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Health Recovery Services, Inc

  • Mental Health Counselor
  • Athens, OH
  • NPI 1427024124

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Health Recovery Services, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Athens, OH
  • NPI 1881957587
  NPD

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1073003109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 COLUMBUS RD",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011334",
            "telephone_number": "740-592-6724",
            "fax_number": "740-592-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12896 GREY ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431389638",
            "telephone_number": "740-385-6354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 Columbus Rd",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457011334",
            "country_code": "US",
            "telephone_number": "740-592-6724",
            "fax_number": "740-592-6728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "DAWN",
        "middle_name": "C",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "LICDC.162686",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2405512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2314525",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0288411",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2864002",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ed Green Electric Inc
• Nicole K Egger, CDCA
• Debra Jo Elliott, MSN, CPNP, CHEP
• Embassy Logan, LLC
• Eriksten, LLC.
• Dawna Jean Evans, PHARMD, RPH
• Kimberly Everhart
• Fairfield Community Supports
• Fairfield Medical Center
• Pramoda Fatehchand, PA C

• Social Worker in Logan, OH
• Providers in Logan, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.