Individual provider Active NPI

Vanessa Evearts, MSS, LCSW

  • Clinical Social Worker
  • Phoenixville, PA
National Provider Identifier
1497135024
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018107 Issued in PA
Practice address
723 Wheatland St
Phoenixville, PA 19460-5361
Phone
(484) 920-3460
NPI assigned
Jun 9, 2015
Last updated
Jun 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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 CW018107 PA Primary

Addresses

Primary practice location

723 Wheatland St
Phoenixville, PA 19460-5361

Mailing address

723 Wheatland St
Phoenixville, PA 19460-5361
Phone (484) 920-3460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2026 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1497135024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 WHEATLAND ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194605361",
            "telephone_number": "484-920-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 WHEATLAND ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194605361",
            "telephone_number": "484-920-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVEARTS",
        "first_name": "VANESSA",
        "credential": "MSS, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.