Evolution From Within, P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EVOLUTION FROM WITHIN, P.C.

Practice address

5758 N Mesa St
El Paso, TX 79912-5427

Phone

(347) 623-4483

NPI assigned

Feb 12, 2013

Last updated

Feb 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lesley Ann Buck, LCSWNPI 1528263167

Title

Owner

Phone

(347) 623-4483

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lesley Ann Buck, LCSW

  • Clinical Social Worker
  • Fort George G Meade, MD
  • NPI 1528263167
  Authorized official Same address or phone
• Kimberly H Brenner, LCSW

  • Clinical Social Worker
  • Park Ridge, IL
  • NPI 1508870759
  NPD (past)

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1477892339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5758 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125427",
            "telephone_number": "347-623-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5758 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125427",
            "telephone_number": "347-623-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION FROM WITHIN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-623-4483",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in El Paso, TX
• Providers in El Paso, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.