Jessica Renee Evans, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2019019923 Issued in MO

Practice address

2751 Thomas Drive
Cape Girardeau, MO 63701-2040

Phone

(573) 803-5002

NPI assigned

Oct 22, 2019

Last updated

Jul 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Nissen Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Grace Reliant Health Services, LLC

  • Home Health Agency
  • Cape Girardeau, MO
  • NPI 1013266436
  NPD

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1114560117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 THOMAS DRIVE",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012040",
            "telephone_number": "573-803-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 THOMAS DRIVE",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012040",
            "telephone_number": "573-803-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JESSICA",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2019019923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica@grhs-mo.com",
            "affiliation": "Y",
            "affiliationName": "Grace Reliant Health Services, LLC",
            "address_1": "2845 Independence St",
            "city": "Cape Girardeau",
            "state": "MO",
            "country_code": "US",
            "postal_code": "637035015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "NISSEN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Baumann Etherton, PHARMD, RPH
• Cynthia Jo Ethridge, M.P.T.
• Megan Renee Eudy, RD
• Leslie L Evans-Hedge, NP-C
• Deborah A Evans, APRN,BC, FNP
• Laura R. Evans, O.D.
• Extra Hands Incorporated
• Eye Care Specialists, LLC
• Eye Consultants Incorporated
• F Stan Williams DDS LLC

• Clinical Social Worker in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.