Individual provider Active NPI

Haley R Evans

  • Clinical Social Worker
  • Danvers, MA
National Provider Identifier
1407538820
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW1142768 Issued in MA
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

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260226002757 MA Practitioner - Clinical Social Worker 5395226401 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
LICSW1142768MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychological Services, PLLC Clinical CurrentSince Jan 19, 2026 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

Verify at the official NPI Registry.