A'Sa Mariah Fernandez Evans, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

114148 Issued in TX

Practice address

9407 Midway Rd
Dallas, TX 75220-3850

Phone

(214) 353-8804

NPI assigned

Jan 3, 2022

Reactivated

Nov 6, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• A'Sa M Evans Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1366103202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 MONTERREY BLVD APT 134A",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760408181",
            "telephone_number": "682-386-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9407 MIDWAY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752203850",
            "telephone_number": "214-353-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ EVANS",
        "first_name": "A'SA",
        "middle_name": "MARIAH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "deactivation_date": "2024-10-28",
        "reactivation_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "114148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A'SA",
            "last_name": "EVANS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Nicole Fern, LPC-ASSOCIATE
• Igor Austin Fernandes Martins, MD
• Amaryllis Fernandes, MD
• Anjali Jasmine Theresa Fernandes, MD
• Valentino FJ Fernandes, M.D.
• Hanen Fernandez Rojas, DO
• Kimberly Fernandez Trahan, MD
• Maria-Jose Fernandez-Diaz, LMFT
• Aaron Jordan Fernandez, M.D.
• Ana Laura Fernandez, RN

• Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.