Individual provider Active NPI

Evon Nicole Foster, LMSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1104121185
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801087359 Issued in MI
Practice address
18516 Archdale St
Detroit, MI 48235-3265
Phone
(313) 850-7818
Fax
(313) 255-4028
NPI assigned
Jan 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801087359 MI Primary

Addresses

Primary practice location

18516 Archdale St
Detroit, MI 48235-3265

Mailing address

18516 Archdale St
Detroit, MI 48235-3265
Phone (313) 850-7818

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pcerecords.cnsmi@direct.mihn.net Direct CNS Healthcare

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20200811001177 MI Practitioner - Clinical Social Worker 3375968159 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801087359MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evolutionary Intervention LLC Single Specialty CurrentSince Dec 8, 2020 Accepting new patients
CNS Healthcare Single Specialty CurrentSince Oct 1, 2021 Accepting new patients
Speaking Emotions Counseling Services, LLC Clinical CurrentSince Feb 5, 2024 Accepting new patients

Locations

2900 Conner St
Bldg A
Detroit, MI 48215
Phone (313) 308-1400

12800 E Warren Ave
Detroit, MI 48215
Phone (313) 308-1400

20303 Kelly Rd
Harper Woods, MI 48225
Phone (313) 245-7000

24230 Karim Blvd
Ste 100
Novi, MI 48375
Phone (248) 724-7700

19785 W 12 Mile Rd
Southfield, MI 48076
Phone (313) 687-4455

18481 W 10 Mile Rd
Ste 101
Southfield, MI 48075
Phone (888) 492-9386

Organizations & group practices 3

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": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1104121185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18516 ARCHDALE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353265",
            "telephone_number": "313-850-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18516 ARCHDALE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353265",
            "telephone_number": "313-850-7818",
            "fax_number": "313-255-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "EVON",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcerecords.cnsmi@direct.mihn.net",
            "affiliation": "Y",
            "affiliationName": "CNS Healthcare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24230 Karim Blvd",
            "address_2": "Suite 100",
            "city": "Novi",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483752960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.