Evann Lavender, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015616 Issued in NC

Practice address

1145 Executive Cir Ste D
Cary, NC 27511-4586

Phone

(919) 307-5752

NPI assigned

Feb 15, 2021

Last updated

Aug 10, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Haven House Inc.

  • Counselor
  • Raleigh, NC
  • NPI 1811194285
  NPD (past)
• Haven House Services

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1770837536
  NPD (past)

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1629661244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 KOHLER LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165485",
            "telephone_number": "919-801-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 EXECUTIVE CIR STE D",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114586",
            "telephone_number": "919-307-5752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W Cabarrus St",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276031953",
            "country_code": "US",
            "telephone_number": "919-833-3312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6001 Kohler Ln",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276165485",
            "country_code": "US",
            "telephone_number": "919-801-4416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1008 Bullard Ct",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276156833",
            "country_code": "US",
            "telephone_number": "919-801-4416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVENDER",
        "first_name": "EVANN",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zahid Latif, R.PH
• Stefanie Latreille
• Patreece Lattimore
• Danielle S Laurent, MS CCC SLP
• Laurie Delk Nutrition
• Inusa Lawany
• Matthew Lawrence, DC
• Nicholas Lawrence
• Patrick Alexander Lawrence, DDS
• Claire Elizabeth Laws

• Clinical Social Worker in Cary, NC
• Providers in Cary, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.