Jeanette Christine Evans, DCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW501 Issued in HI

Practice address

55 N Church St Ste 2
Wailuku, HI 96793-1684

Phone

(808) 244-6881

NPI assigned

Jan 17, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jeanette Evans, Inc.

  • Community/Behavioral Health Agency
  • Wailuku, HI
  • NPI 1316290489
  NPD (past) Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215089388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 KEKAULIKE AVE",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967908483",
            "telephone_number": "808-244-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N CHURCH ST STE 2",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931684",
            "telephone_number": "808-244-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JEANETTE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "DCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LSW501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Espy, D.P.T.
• Romina Estrada-Arenas
• Destiny Estrada
• Mark Etter, MD
• Jacob David Evans
• William Fagan, D.C.
• Benjamin Paul Falit, M.D.
• Ariane Faria Uzum
• Jay R. Faris, M.D.
• Marlena Farm, PHD

• Clinical Social Worker in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.