Individual provider Active NPI

Evelyn Shalon, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1487164646
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5050 Parkside Ave Ste 2
Philadelphia, PA 19131-4751
Phone
(215) 444-7469
NPI assigned
Oct 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CW019630 PA
Clinical Social Worker 1041C0700X PA Primary

Addresses

Primary practice location

5050 Parkside Ave Ste 2
Philadelphia, PA 19131-4751

Mailing address

PO Box 746722
Atlanta, GA 30374-6722
Phone (312) 733-9730

Other practice location 1

6120B Woodland Ave
Philadelphia, PA 19142-3224
Phone (610) 213-8689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180313001723 PA Practitioner - Clinical Social Worker 9032471990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians

Practice addresses (Care Compare)

5050 Parkside Ave
Philadelphia, PA 19131-4714
Phone (312) 600-8484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW019630PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Osh - PA Physicians Group, PC Clinical CurrentSince Apr 28, 2025 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Jan 24, 2018 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Jan 24, 2018 Accepting new patients
Resources for Human Development, Inc. Current Accepting new patients
Family Practice & Counseling Services Network, Inc. Past Accepting new patients

Locations

5050 Parkside Ave
Ste 2
Philadelphia, PA 19131
Phone (215) 383-0341

5050 Parkside Ave
Philadelphia, PA 19131
Phone (215) 390-1742

6120 Woodland Ave
Fl The
Philadelphia, PA 19142
Phone (215) 727-4721

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

4700 Wissahickon Ave
Ste 119
Philadelphia, PA 19144
Phone 2158439720 ext. 3640

2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172

4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720

951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000

Organizations & group practices 5

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": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1487164646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746722",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 PARKSIDE AVE STE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314751",
            "telephone_number": "215-444-7469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6120B Woodland Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191423224",
            "country_code": "US",
            "telephone_number": "610-213-8689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHALON",
        "first_name": "EVELYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW019630",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.