Individual provider Active NPI

Lynn Evansohn, LCSW

  • Clinical Social Worker
  • Bronxville, NY
National Provider Identifier
1255522587
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO13680-1 Issued in NY
Practice address
180 Pondfield Rd
Counseling Center
Bronxville, NY 10708-4811
Phone
(914) 793-3388
Fax
(914) 793-0094
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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 RO13680-1 NY Primary

Addresses

Primary practice location

180 Pondfield Rd
Counseling Center
Bronxville, NY 10708-4811

Mailing address

3126 Arlington Ave
Bronx, NY 10463-3306
Phone (718) 549-3941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO13680-1NYMDClinical Social Worker
013680NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Center, Inc. PastSince May 19, 2024 Accepting new patients

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1255522587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 ARLINGTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633306",
            "telephone_number": "718-549-3941",
            "fax_number": "718-601-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PONDFIELD RD",
            "address_2": "COUNSELING CENTER",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107084811",
            "telephone_number": "914-793-3388",
            "fax_number": "914-793-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANSOHN",
        "first_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO13680-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.