Jennelle Evans, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q10001314 Issued in DE

Practice address

667 Corsica Ave
Bear, DE 19701-2513

Phone

(516) 581-6386

NPI assigned

Sep 27, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• D.O.P.E Therapy LLC

  • Clinical Social Worker
  • Bear, DE
  • NPI 1578389714
  NPD Authorized official
• Moxie Living Counseling & Coaching LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newark, DE
  • NPI 1770148157
  NPD

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1306497565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 CORSICA AVE",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012513",
            "telephone_number": "302-365-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 CORSICA AVE",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012513",
            "telephone_number": "516-581-6386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "256 Chapman Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197025415",
            "country_code": "US",
            "telephone_number": "410-656-9065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JENNELLE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q10001314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Jane Ellsworth, M.S.ED, PD
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• Mary Eleanor Esposito
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• Ethereal Home Care
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• Louis Fanfan Sr.
• Troy Farmer, MSW
• Alexa Farnese, MA
• Feeney Chiropractic Care Centre

• Clinical Social Worker in Bear, DE
• Providers in Bear, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.