Individual provider Active NPI

Bethany Evans, MSW

  • Clinical Social Worker
  • Byron Center, MI
National Provider Identifier
1417655960
Registry record updated Feb 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
8735 Kari LN SW
Byron Center, MI 49315-9252
Phone
(616) 287-5871
NPI assigned
Feb 22, 2023
Last updated
Feb 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 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 Primary

Addresses

Primary practice location

8735 Kari LN SW
Byron Center, MI 49315-9252

Mailing address

8735 Kari LN SW
Byron Center, MI 49315-9252
Phone (616) 287-5871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241204002720 IL Practitioner - Clinical Social Worker 9638605413 Reassigns benefits to 1 organization
I20260624002757 MI Practitioner - Clinical Social Worker 9638605413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians
Nexumhc Consultants, PLLCGroup PAC ID 5698134005, 13 clinicians

Practice addresses (Care Compare)

2751 E Jefferson Ave
400 Detriot
Detroit, MI 48207-4105
Phone (240) 201-3386

7373 N Lincoln Ave
Lincolnwood, IL 60712-1704
Phone (773) 945-1994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nexumhc Consultants, PLLC Clinical CurrentSince Dec 1, 2024 Accepting new patients

Locations

7373 N Lincoln Ave
Lincolnwood, IL 60712
Phone (773) 887-6150

7373 N Lincoln Ave
Ste 400
Lincolnwood, IL 60712
Phone (219) 805-3593

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771113600000",
    "number": "1417655960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8735 KARI LN SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159252",
            "telephone_number": "616-287-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8735 KARI LN SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159252",
            "telephone_number": "616-287-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BETHANY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2026-02-15",
        "certification_date": "2026-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron Center, MI

Sources for this page

Verify at the official NPI Registry.