Meredith Elaine Evett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149026730 Issued in IL

Practice address

1525 W Carmen Ave Apt 2
Chicago, IL 60640-8574

Phone

(512) 815-3186

NPI assigned

Oct 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Black Dog Psychotherapy PLLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1174415269
  NPD Authorized official

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1316765993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 W CARMEN AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606408574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W CARMEN AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606408574",
            "telephone_number": "512-815-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVETT",
        "first_name": "MEREDITH",
        "middle_name": "ELAINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63376",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149026730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everwell Therapy Chicago PLLC
• Everwild Healing LLC
• Everyday Home Care, Inc.
• Everyday Psychotherapy Chicago
• Justine Evett
• Eviarx LLC
• Evidence Based Therapy Chicago
• Evive Health LLC
• Evocare Wound Solutions PA
• Evohome Medical Corporation

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.