Active NPI
Jasmine Evans, LSW
- Social Worker
- Swansea, IL
National Provider Identifier
1609793314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150118901
- Practice address
- 12 Wolf Creek Dr Ste 100
Swansea, IL 62226-2314 - Phone
- (314) 239-2728
- Fax
- (949) 561-4148
- NPI assigned
- Jul 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150118901 | IL | Primary |
Addresses
Primary practice location
12 Wolf Creek Dr Ste 100
Swansea, IL 62226-2314
Mailing address
2914 Sand Spur CT
Florissant, MO 63031-8801
Phone (557) 208-0266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1609793314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2914 SAND SPUR CT",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630318801",
"telephone_number": "557-208-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 WOLF CREEK DR STE 100",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262314",
"telephone_number": "314-239-2728",
"fax_number": "949-561-4148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JASMINE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-02",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150118901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Swansea, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.