Evolution Mentorship LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

EVOLUTION MENTORSHIP LLC

Doing business as

Evolution Mentorship

Practice address

2001 Racine St
Racine, WI 53403-3340

Phone

(262) 994-5932

NPI assigned

May 28, 2026

Organization subpart

No

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

Authorized official

Name

Shavonta Simpson

Title

Owner

Phone

(262) 994-5932

Specialties & licenses 1

Addresses

Other names 1

• Evolution Mentorship Doing business as

Locations

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1619808664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 RACINE ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534033340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 RACINE ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534033340",
            "telephone_number": "262-994-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION MENTORSHIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "SHAVONTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-994-5932"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolution Mentorship",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Social Worker in Racine, WI
• Providers in Racine, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.