Individual provider Active NPI

Beverly Kaye Evans, L.C.S.W.

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1326199548
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29 Issued in OK
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

Updated by the provider on May 26, 2009

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.