Individual provider Active NPI

Michelle Jeanette Eveland, MSW, LICSW, CMHS

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1073057865
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60904652 Issued in WA
Practice address
1312 N Monroe St # 115
Spokane, WA 99201-2623
Phone
(509) 329-8413
NPI assigned
Dec 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X SC60443410 WA
Clinical Social Worker 1041C0700X LW60904652 WA Primary

Addresses

Primary practice location

1312 N Monroe St # 115
Spokane, WA 99201-2623

Mailing address

1312 N Monroe St # 115
Spokane, WA 99201-2623
Phone (509) 329-8413

Other identifiers 1

IdentifierTypeStateIssuer
2114157MedicaidWA

Other names 1

  • Michelle Jeanette Scully Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20190918001175 WA Practitioner - Clinical Social Worker 7315277357 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC60443410WAMDCounselor
LW60904652WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Behavioral Health Social Worker CurrentSince Jul 20, 2019 Accepting new patients
Mae's Hope, Inc. Counselor CurrentSince Aug 1, 2020 Accepting new patients

Locations

5901 N Lidgerwood St
Ste 115
Spokane, WA 99208
Phone (509) 466-6632

1312 N Monroe St
Spokane, WA 99201
Phone (509) 252-0800

107 S Division St
Spokane, WA 99202
Phone (509) 383-4651

1819 E Springfield Ave
Ste J
Spokane, WA 99202

521 N Argonne Rd
Ste B105
Spokane Valley, WA 99212
Phone (509) 290-1538

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": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1073057865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 N MONROE ST # 115",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012623",
            "telephone_number": "509-329-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 N MONROE ST # 115",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012623",
            "telephone_number": "509-329-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVELAND",
        "first_name": "MICHELLE",
        "middle_name": "JEANETTE",
        "credential": "MSW, LICSW, CMHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "SC60443410",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60904652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114157",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "SCULLY",
            "middle_name": "JEANETTE",
            "credential": "MSW, LSWAIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.