Taneasha Elizabeth Evans

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4120 Issued in HI

Practice address

438 Hobron LN Ste 405
Honolulu, HI 96815-1229

Phone

(808) 941-9648

NPI assigned

Feb 27, 2020

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

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.

• Taneasha E Evans, LLC

  • Community/Behavioral Health Agency
  • Honolulu, HI
  • NPI 1447986096
  NPD Authorized official
• Optum Behavioral Care of Ohio, Inc

  • Counseling Psychologist
  • Honolulu, HI
  • NPI 1548036239
  NPD (past)
• Optum Behavioral Care of Ohio, Inc.

  • Clinical Social Worker
  • Maryland Heights, MO
  • NPI 1528945623
  NPD (past)

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1326672452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61541",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968391541",
            "telephone_number": "805-304-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 HOBRON LN STE 405",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151229",
            "telephone_number": "808-941-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TANEASHA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke S. Evans, LCSW
• James F C Evans, PA
• Maureen Louise Evans, RN, BSN
• Nicole Evans
• Samuel J Evans, M.D.
• Dylan S Everett
• Elizabeth Everett, CSAC
• Kaeo Everett, DMD
• Evergreen Adc Hawaii
• Evergreen Adc Hawaii

• Clinical Social Worker in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.