Evelene Johnson
Individual provider Active NPI Social Worker · Owingsville, KY
NPI 1104285493 · NPPES record last updated Feb 16, 2016
Key facts
- NPI
- 1104285493
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 664 Slate Ave
Owingsville, KY 40360 - Phone
- (606) 329-8588
- Fax
- (606) 329-8195
- NPI assigned
- Feb 16, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
664 Slate Ave
Owingsville, KY 40360
Mailing address
PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588
Other providers in Owingsville, KY
- Natasha Harvey-Allen
- Melodie Tipton Hawkins
- Madison Howard
- Stacy Hunt
- Brejaya Johnson
- Gregory Jones
- Juniper Tree Recovery
- Juniper Tree Recovery
- Joe M Kash
- Melanie Ann Kelley
All providers in Owingsville, KY · Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.