Active NPI
Erin Micah Evans, LCSW
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1376072561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 122098
- Practice address
- 2830 I St Unit 202
Sacramento, CA 95816-4311 - Phone
- (916) 250-0542
- Fax
- (916) 618-0997
- NPI assigned
- Jun 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 122098 | CA | Primary |
Addresses
Primary practice location
2830 I St Unit 202
Sacramento, CA 95816-4311
Mailing address
PO Box 5188
Oakland, CA 94605-0188
Other practice location 1
3951 Performance Dr Ste G
Sacramento, CA 95838-3264
Phone (916) 921-0828
Other practice location 2
212 I St
Davis, CA 95616-4213
Phone (530) 601-5959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122098 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1376072561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5188",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946050188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2830 I ST UNIT 202",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958164311",
"telephone_number": "916-250-0542",
"fax_number": "916-618-0997"
}
],
"practiceLocations": [
{
"address_1": "3951 Performance Dr Ste G",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958383264",
"country_code": "US",
"telephone_number": "916-921-0828",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "212 I St",
"address_purpose": "LOCATION",
"city": "Davis",
"state": "CA",
"postal_code": "956164213",
"country_code": "US",
"telephone_number": "530-601-5959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "ERIN",
"middle_name": "MICAH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-09",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "122098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.