Individual provider Active NPI

Evan Richard Maas

  • Clinical Social Worker
  • Cherokee, NC
National Provider Identifier
1104279421
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P010633 Issued in NC
Practice address
1 Hospital Road
Caller Box C-268
Cherokee, NC 28719-9253
Phone
(828) 497-9163
Fax
(828) 497-1723
NPI assigned
Jul 21, 2016
Last updated
Jul 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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 P010633 NC Primary

Addresses

Primary practice location

1 Hospital Road
Caller Box C-268
Cherokee, NC 28719-9253

Mailing address

1 Hospital Road
Caller Box C-268
Cherokee, NC 28719-9253
Phone (828) 497-9163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20181213001704 NC Practitioner - Clinical Social Worker 1850636226 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

3643 N Roxboro St
Durham, NC 27704-2702
Phone (919) 470-5356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P010633NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Duke University Health System, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Dynamic Resources & Guidance Inc Clinical CurrentSince Jan 5, 2019 Accepting new patients
Eleanor Health Professional NC, PLLC CurrentSince May 4, 2020 Accepting new patients

Locations

2402 S Miami Blvd
Ste 101
Durham, NC 27703
Phone (919) 765-8730

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

930 Tate Blvd SE
Ste 101
Hickory, NC 28602

5720 Creedmoor Rd
Ste 201
Raleigh, NC 27612
Phone (919) 946-5852

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1104279421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL ROAD",
            "address_2": "CALLER BOX C-268",
            "city": "CHEROKEE",
            "state": "NC",
            "postal_code": "287199253",
            "telephone_number": "828-497-9163",
            "fax_number": "828-497-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL ROAD",
            "address_2": "CALLER BOX C-268",
            "city": "CHEROKEE",
            "state": "NC",
            "postal_code": "287199253",
            "telephone_number": "828-497-9163",
            "fax_number": "828-497-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAS",
        "first_name": "EVAN",
        "middle_name": "RICHARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherokee, NC

Sources for this page

Verify at the official NPI Registry.