Patrick James McEvilly III, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

680110564 Issued in MI

Practice address

120 E Liberty St Ste 360
Ann Arbor, MI 48104-2174

Phone

(248) 736-7251

NPI assigned

Nov 18, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• McEvilly Counseling PLLC

  • Adult Mental Health Clinic/Center
  • Ann Arbor, MI
  • NPI 1003418468
  NPD Authorized official

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1598301202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 N CONGRESS ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974604",
            "telephone_number": "248-736-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E LIBERTY ST STE 360",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042174",
            "telephone_number": "248-736-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEVILLY",
        "first_name": "PATRICK",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "680110564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy McElmurry, PA-C
• Kristen Allyse McElreath, MD
• Lisa Marie McElroy, MD
• McEvilly Counseling PLLC
• Matthew M McEvilly, CRNA
• James A. McEvoy, M.D.
• Joseph McEvoy
• Maria G McEvoy, NP
• Kathryn Alicia McFadden, MD
• Kristin Lynn McFadden, D.O.

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.