Individual provider Active NPI

Tyanna Ashley Evans, LISW-CP

  • Clinical Social Worker
  • Columbia, SC
National Provider Identifier
1265709273
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11029 Issued in SC
Practice address
2601 Read St Ste I-7
Columbia, SC 29204-7861
Phone
(803) 567-0064
NPI assigned
Nov 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 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 11029 SC Primary

Addresses

Primary practice location

2601 Read St Ste I-7
Columbia, SC 29204-7861

Mailing address

2000 Park St Ste 102
Columbia, SC 29201-2011
Phone (803) 567-0064

Other practice location 1

645 S Seventh St
Mc Bee, SC 29101-7101
Phone (843) 335-8291

Other names 1

  • Tyanna A Dover Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20180529000824 SC Practitioner - Clinical Social Worker 1951666890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of South Carolina School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2000 Park St
Suite 102
Columbia, SC 29201-2011
Phone (803) 567-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Counseling and Consulting, Inc Clinical CurrentSince Jan 1, 2023 Accepting new patients

Locations

2000 Park St
Ste 102
Columbia, SC 29201
Phone (803) 567-0064

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": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1265709273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PARK ST STE 102",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012011",
            "telephone_number": "803-567-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 READ ST STE I-7",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292047861",
            "telephone_number": "803-567-0064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 S Seventh St",
            "address_purpose": "LOCATION",
            "city": "Mc Bee",
            "state": "SC",
            "postal_code": "291017101",
            "country_code": "US",
            "telephone_number": "843-335-8291",
            "fax_number": "843-335-8731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TYANNA",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-18",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "11029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYANNA",
            "last_name": "DOVER",
            "middle_name": "A",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.