Kenneth James Evanoski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

018344 Issued in PA

Practice address

349 N McKean St
Butler, PA 16001-4928

Phone

(724) 282-0332

NPI assigned

Nov 4, 2014

Last updated

Jul 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellness Works Counseling, LLCGroup PAC ID 8224474606, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wellness Works Counseling, LLC

  • Mental Health Counselor
  • Butler, PA
  • NPI 1376318774
  Medicare reassignment Care Compare group NPD
• Family Pathways

  • Community/Behavioral Health Agency
  • Butler, PA
  • NPI 1629118492
  NPD (past)

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1538564430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRUGH AVE",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160016428",
            "telephone_number": "724-284-9440",
            "fax_number": "724-284-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 N MCKEAN ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014928",
            "telephone_number": "724-282-0332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Brugh Ave",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160016428",
            "country_code": "US",
            "telephone_number": "724-284-9440 x107",
            "fax_number": "724-284-9441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANOSKI",
        "first_name": "KENNETH",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-04",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "018344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Obrien Gaiser Addiction Center
• Lisa L Ellis, MPAS, PA-C
• Morgan Elizabeth Endress
• Jessica Nichole Esslinger, RD
• David Evanko, M.D.
• Donna J Evans, CCC-SP
• Kurt G Evans, D.M.D.
• Hanna Everhart
• Evidence Based Recovery, Inc
• Emily Elizabeth Eyth

• Clinical Social Worker in Butler, PA
• Providers in Butler, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.