Active NPI
Haley R Evans
- Clinical Social Worker
- Danvers, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW1142768
- Practice address
- 99 Conifer Hill Dr Ste 104
Danvers, MA 01923-1194 - Phone
- (203) 940-0964
- NPI assigned
- Aug 4, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LICSW1142768 | MA | Primary |
Addresses
Primary practice location
99 Conifer Hill Dr Ste 104
Danvers, MA 01923-1194
Mailing address
99 Conifer Hill Dr Unit 104
Danvers, MA 01923-1198
Phone (781) 646-0500
Other practice location 1
8 Fuller Rd
Middleton, MA 01949-2331
Phone (203) 940-0964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICSW1142768 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychological Services, PLLC | Clinical | Current | Accepting new patients |
Locations
99 Conifer Hill Dr
Unit 104
Danvers, MA 01923
Phone (203) 940-0964
89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1407538820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 CONIFER HILL DR UNIT 104",
"city": "DANVERS",
"state": "MA",
"postal_code": "019231198",
"telephone_number": "781-646-0500",
"fax_number": "781-646-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 CONIFER HILL DR STE 104",
"city": "DANVERS",
"state": "MA",
"postal_code": "019231194",
"telephone_number": "203-940-0964"
}
],
"practiceLocations": [
{
"address_1": "8 Fuller Rd",
"address_purpose": "LOCATION",
"city": "Middleton",
"state": "MA",
"postal_code": "019492331",
"country_code": "US",
"telephone_number": "203-940-0964",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "HALEY",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-04",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW1142768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.