Individual provider Active NPI

Adrian Idris Evans, LCSW

  • Clinical Social Worker
  • Pensacola, FL
National Provider Identifier
1134567977
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007447 Issued in VA
Practice address
6000 W Highway 98
Pensacola, FL 32512-1208
Phone
(850) 505-6902
Fax
(850) 505-6289
NPI assigned
Jun 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 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 Worker 1041C0700X 0904007447 VA Primary

Addresses

Primary practice location

6000 W Highway 98
Pensacola, FL 32512-1208

Mailing address

5412 Royal Tern CT
Chesapeake, VA 23321-1381

Other practice location 1

5412 Royal Tern Ct
Chesapeake, VA 23321-1381
Phone (601) 253-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230227001035 VA Practitioner - Clinical Social Worker 5597138321 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oso Wellness PLLC Clinical CurrentSince Nov 16, 2022 Accepting new patients

Locations

3530 N Courthouse Rd
Providence Forge, VA 23140
Phone 8044097525 ext. 07

Organizations & group practices 1

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1134567977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 ROYAL TERN CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233211381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 W HIGHWAY 98",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325121208",
            "telephone_number": "850-505-6902",
            "fax_number": "850-505-6289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5412 Royal Tern Ct",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233211381",
            "country_code": "US",
            "telephone_number": "601-253-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ADRIAN",
        "middle_name": "IDRIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.