Jaimie Rachelle Evans, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW018894 Issued in PA

Practice address

3410 E Market St Ste B
York, PA 17402-2662

Phone

(717) 509-9875

Fax

(717) 509-9876

NPI assigned

Jun 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Professional Counseling Consulting and Human Services LLCGroup PAC ID 3072665462, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Professional Counseling Consulting & Human Services LLC

  • Psychiatry Physician
  • Mahanoy City, PA
  • NPI 1366685661
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1144515909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 E MARKET ST STE B",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022662",
            "telephone_number": "717-509-9875",
            "fax_number": "717-509-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 E MARKET ST STE B",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022662",
            "telephone_number": "717-509-9875",
            "fax_number": "717-509-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JAIMIE",
        "middle_name": "RACHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102980085 0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CW018894",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce Ettenger, CRNP
• Eugene F. Roginsky, Jr., D.M.D., P.C.
• Sherry Euker
• Angela Rene Evans, CRNP
• Christopher John Evans, DO
• Traci Evans, CRNP
• Georgia Evearitt, RN LMT
• Kendra Nicole Eveler, P.A.
• Nicole Cory Eveler, DPT
• Maya Everett

• Clinical Social Worker in York, PA
• Providers in York, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.