Stephene Loran Evans, LISW, OCPC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1901792 Issued in OH

Practice address

1832 Adams St
Toledo, OH 43604-4428

Phone

(419) 214-0606

NPI assigned

Jun 25, 2015

Last updated

Nov 12, 2019By the provider in NPPES

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Behavioral Care of Ohio IncGroup PAC ID 7719325083, 67 clinicians

Monarch Grief CenterGroup PAC ID 1254795909, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephene.evans.1@28621.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Monarch Grief Center

  • Community/Behavioral Health Agency
  • Perrysburg, OH
  • NPI 1073293569
  Medicare reassignment Care Compare group NPD
• Optum Behavioral Care of Ohio, Inc

  dba The Center for Cognitive and Behavioral Therapy of Ohio

  • Counseling Psychologist
  • Columbus, OH
  • NPI 1285400978
  Medicare reassignment Care Compare group NPD
• Optum Behavioral Care of Ohio, Inc.

  • Clinical Social Worker
  • Maryland Heights, MO
  • NPI 1528945623
  NPD
• Optum Behavioral Care of Ohio, Inc

  dba Tomorrow Begins Today Counseling of Ohio

  • Counseling Psychologist
  • Perrysburg, OH
  • NPI 1144082322
  NPD (past)

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1366824427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5666 CLOVER LN",
            "city": "WALBRIDGE",
            "state": "OH",
            "postal_code": "434659595",
            "telephone_number": "734-644-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 ADAMS ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436044428",
            "telephone_number": "419-214-0606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1946 N 13th St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436047258",
            "country_code": "US",
            "telephone_number": "419-720-9247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "STEPHENE",
        "middle_name": "LORAN",
        "name_prefix": "Mrs.",
        "credential": "LISW, OCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901792",
            "primary": true
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "OH",
            "license": "OCPC.161315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylene Marie Evans, PHARMD.
• Kelly A Evans, ARNP
• Margaret Evans
• Mary D Evans
• Orlando L Evans
• Tera Evans, CMS
• Tierra Evans
• Tomeisha Evans
• Tomisha Evans
• Tori Evans

• Clinical Social Worker in Toledo, OH
• Providers in Toledo, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.