Celevia Evans

Primary specialty

Social WorkerTaxonomy code 104100000X

License

M5132 Issued in MS

Practice address

357 Towne Center Blvd., Suite 100
Ridgeland, MS 39157-4837

Phone

(601) 952-0894

Fax

(601) 952-0836

NPI assigned

Oct 26, 2015

Sex

Female

Sole proprietor

No

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 MS

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, 2001

Medicare assignment

May accept Medicare assignment

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.

• Innovative Behaviorals Services, Inc.

  • Clinical Social Worker
  • Ridgeland, MS
  • NPI 1578578092
  Medicare reassignment NPD
• New Direction Therapeutic Group Home

  • Professional Counselor
  • Jackson, MS
  • NPI 1609589266
  Medicare reassignment NPD

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1619349909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 TOWNE CENTER BLVD., SUITE 100",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574837",
            "telephone_number": "601-952-0894",
            "fax_number": "601-952-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 TOWNE CENTER BLVD., SUITE 100",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574837",
            "telephone_number": "601-952-0894",
            "fax_number": "601-952-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CELEVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M5132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Karl Enroth Jr., OTR
• Dusty J Erno
• Jayla Ashunni Erving
• Kayla Nicole Espolt, DPT
• Essential Touchtones
• Juan Z Evans, COTA-L
• Mary Kathryn Evans
• Terry James Evans
• Alex Evaro
• Monyetta S Everett, FNP

• Social Worker in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.