Evanee Neville, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-01-5143 Issued in IL

Practice address

635 Argyle Ave
Flossmoor, IL 60422-1201

Phone

(773) 844-8813

NPI assigned

Oct 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Community Wellness Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flossmoor, IL
  • NPI 1144820648

  Clinical

  NPD

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1083124960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 ARGYLE AVE",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221201",
            "telephone_number": "773-844-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 ARGYLE AVE",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221201",
            "telephone_number": "773-844-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVILLE",
        "first_name": "EVANEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-01-5143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sameh Nabelsi, M.D.
• Max Edward Nayden, P.T.
• Peter Neofotistos, DC
• Arsenia M Nepomuceno, MD
• Edilberto E Nepomuceno Jr., MD
• Anila Nijhawan, R.D.
• Aisha A Nix-Hughes, RDN
• Lloydtonda Nolan
• Noras Sanctuary Homes Inc
• Norma Medical Center PLLC

• Clinical Social Worker in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.