Keegan Marie Evans

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0001547 Issued in DE

Practice address

1418 S State St
Dover, DE 19901-4948

Phone

(302) 257-3135

NPI assigned

Sep 8, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northnode Group CounselingGroup PAC ID 1254753114, 2 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 and National Provider Directory roles.

• Northnode Group Counseling

  • Clinical Social Worker
  • Dover, DE
  • NPI 1003273954
  Medicare reassignment Care Compare group NPD
• For All Seasons, Inc.

  • Clinical Social Worker
  • Cambridge, MD
  • NPI 1871732693
  NPD (past)

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1609183995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8264 GANNON CIR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017122",
            "telephone_number": "410-200-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014948",
            "telephone_number": "302-257-3135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29516 Canvasback Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216017140",
            "country_code": "US",
            "telephone_number": "410-822-5007",
            "fax_number": "410-822-5569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KEEGAN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "DE",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17722",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550002",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mumta Essarani
• Abigail Estabrook, LPCMH
• Wesley Estell
• Evans Chiropractic
• Aisha Katrell Evans, LCSW
• Sheila Evans, LPCMH
• Colleen M Everett, O. D.
• Franklin H Everett III, LPCMH
• Paula Everett
• James Lowell Everette, Jr., M.D.

• Clinical Social Worker in Dover, DE
• Providers in Dover, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.