Individual provider Active NPI

Merrill L Evans, LSCSW

  • Clinical Social Worker
  • Lawrence, KS
National Provider Identifier
1073775540
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7130 Issued in KS
Practice address
543 Lawrence Ave Ste C
Lawrence, KS 66049-4217
Phone
(785) 424-7770
Fax
(833) 527-8323
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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 7130 KS Primary

Addresses

Primary practice location

543 Lawrence Ave Ste C
Lawrence, KS 66049-4217

Mailing address

543 Lawrence Ave Ste C
Lawrence, KS 66049-4217
Phone (785) 424-7770

Other identifiers 1

IdentifierTypeStateIssuer
30004348950002MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20130819000522 KS Practitioner - Clinical Social Worker 6709028996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DBT Center of Lawrence and Kansas City LLCGroup PAC ID 9032456397, 2 clinicians

Practice addresses (Care Compare)

1311 Wakarusa Dr
Suite 2100
Lawrence, KS 66049-4775

543 Lawrence Ave
Suite C
Lawrence, KS 66049-4217
Phone (785) 424-7770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7130KSMDClinical Social Worker
4215KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
DBT Center of Lawrence and Kansas City LLC CurrentSince May 1, 2022 Accepting new patients

Locations

1307 Massachusetts St
Lawrence, KS 66044
Phone (785) 424-7770

1311 Wakarusa Dr
Ste 2100
Lawrence, KS 66049
Phone (785) 393-9805

Organizations & group practices 1

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1073775540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 LAWRENCE AVE STE C",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494217",
            "telephone_number": "785-424-7770",
            "fax_number": "833-527-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 LAWRENCE AVE STE C",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494217",
            "telephone_number": "785-424-7770",
            "fax_number": "833-527-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MERRILL",
        "middle_name": "L",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "7130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004348950002",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.