Evelyn Huot, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 779 Issued in ID

Practice address

1740 E 17TH St
Idaho Falls, ID 83404-6375

Phone

(208) 522-8725

Fax

(208) 522-8725

NPI assigned

Jun 2, 2006

Last updated

Feb 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Evelyn Mallea Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evelyn Mallea, CHTD

  dba Magic Valley Counseling Services

  • Clinical Social Worker
  • Twin Falls, ID
  • NPI 1770671372
  NPD (past)
• Family Care Center, Inc

  dba A New Life Counseling

  • Professional Counselor
  • Idaho Falls, ID
  • NPI 1205863222
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201910400000",
    "number": "1285671677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 VIRGINIA AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046208",
            "telephone_number": "208-731-6302",
            "fax_number": "208-522-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046375",
            "telephone_number": "208-522-8725",
            "fax_number": "208-522-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUOT",
        "first_name": "EVELYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW 779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "MALLEA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryan Clarke Huntsman, DPT
• Bryan D Huntsman, M.S., P.T.
• Casey I Huntsman, M.D.
• Elliot Huntsman, N.P.
• Jennifer A Huntsman, BA
• Calvin Hurd
• David Scott Hurst, LPC
• Tyson J Huskinson, PHARMD
• Kelly Marie Hutchins, OTD
• Emily Hutchinson

• Clinical Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2008; 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.