Individual provider Active NPI

Hope Michele Evelyn, MSW, LCSW

  • Clinical Social Worker
  • Avon, CT
National Provider Identifier
1306623624
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
013737 Issued in CT
Practice address
20 Tower LN Ste 100
Avon, CT 06001-4212
Phone
(860) 382-0096
NPI assigned
Sep 11, 2023
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 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 013737 CT Primary

Addresses

Primary practice location

20 Tower LN Ste 100
Avon, CT 06001-4212

Mailing address

20 Tower LN Ste 100
Avon, CT 06001-4212
Phone (860) 382-0096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240919002851 CT Practitioner - Clinical Social Worker 3779024542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Cognitive Care, PCGroup PAC ID 1355782236, 9 clinicians
State of ConnecticutGroup PAC ID 8022915677, 267 clinicians

Practice addresses (Care Compare)

148 Eastern Blvd
Suite 200
Glastonbury, CT 06033-4321
Phone (860) 815-8991

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013737CTMDClinical Social Worker
13737CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Apr 3, 2026 Accepting new patients
Union Cognitive Care, PC CurrentSince Oct 21, 2024 Accepting new patients
State of Connecticut CurrentSince Apr 3, 2026 Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

148 Eastern Blvd
Ste 200
Glastonbury, CT 06033
Phone (860) 559-9398

98 East Ave
Ste 3
Norwalk, CT 06851
Phone (203) 580-6660

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1306623624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TOWER LN STE 100",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014212",
            "telephone_number": "860-382-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TOWER LN STE 100",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014212",
            "telephone_number": "860-382-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVELYN",
        "first_name": "HOPE",
        "middle_name": "MICHELE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "013737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.