Active NPI
Beverly Kaye Evans, L.C.S.W.
- Clinical Social Worker
- Oklahoma City, OK
National Provider Identifier
1326199548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 29
- Practice address
- 1029 NW 46TH St
#5
Oklahoma City, OK 73118-6447 - Phone
- (405) 848-4459
- Fax
- (405) 848-4459
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 29 | OK | Primary |
Addresses
Primary practice location
1029 NW 46TH St
#5
Oklahoma City, OK 73118-6447
Mailing address
PO Box 60383
Oklahoma City, OK 73146-0383
Phone (405) 848-4459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050217000334 | OK | Practitioner - Clinical Social Worker | 5799737011 | Practice locations: Oklahoma City, OK |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243296000000",
"number": "1326199548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60383",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731460383",
"telephone_number": "405-848-4459",
"fax_number": "405-848-4459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 NW 46TH ST",
"address_2": "#5",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731186447",
"telephone_number": "405-848-4459",
"fax_number": "405-848-4459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "BEVERLY",
"middle_name": "KAYE",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2009-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "29",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.