Erin Eleanor Evanson-Lass, LCSW
Individual provider Active NPI Clinical Social Worker · Plainview, TX
NPI 1497053235 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1497053235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 60944 (TX)
- Practice address
- 812 W 8TH St Ste 6a
Plainview, TX 79072-7931 - Phone
- (785) 317-2704
- NPI assigned
- Mar 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Waypoints Counseling, PLLC
Practice addresses (Care Compare)
812 W 8TH St
Suite 1a
Plainview, TX 79072-7999
Phone (806) 429-8088
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170801002183 | TX | Practitioner - Clinical Social Worker | 3870864440 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60944 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waypoints Counseling, PLLC | Current |
Accepting new patients |
Locations
812 W 8th St
Ste 6A
Plainview, TX 79072
Phone (806) 429-2656
812 W 8th St
Ste 1A
Plainview, TX 79072
Phone (806) 429-8088
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 60944 | TX | Yes |
Addresses
Primary practice location
812 W 8TH St Ste 6a
Plainview, TX 79072-7931
Mailing address
812 W 8TH St
Ste 6a
Plainview, TX 79072
Phone (785) 317-2704
Other practice location 1
7920 County Road Ee
Kress, TX 79052-7843
Phone (785) 317-2704
Other providers in Plainview, TX
- Cathi Lynne Eggart
- Jessica Michelle Elkins
- K'Nell Engle
- Connie Espinoza
- Kathryn Lynn Evans
- Carley Exiga
- Javier Falcon
- Familia Dental Plainview PLLC
- Ernie Van Fields
- Joseph Paul Fikes
All providers in Plainview, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.