Nicole Hess Evans, LCSW

Individual provider Active NPI Clinical Social Worker · Salunga, PA

NPI 1235869736 · NPPES record last updated Aug 12, 2025

Key facts

NPI
1235869736
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
CW025542 (PA)
Practice address
53 W Brandt Blvd
Salunga, PA 17538-1161
Phone
(717) 282-2908
NPI assigned
Jun 16, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 6, 2025 through May 6, 2027

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
139228PAMDSocial Worker
CW025542PAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 139228 PA
Clinical Social Worker 1041C0700X CW025542 PA Yes

Addresses

Primary practice location

53 W Brandt Blvd
Salunga, PA 17538-1161

Mailing address

527 E Chestnut St
Lancaster, PA 17602-3018
Phone (717) 617-8123

Other providers in Salunga, PA

All providers in Salunga, PA · Clinical Social Worker in Pennsylvania

Sources for this page

Verify at the official NPI Registry.