Courtney Renee Eveningred, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801091817 Issued in MI

Practice address

1322 N River Rd
Saint Clair, MI 48079-2803

Phone

(810) 329-4798

Fax

(810) 329-7303

NPI assigned

Jan 20, 2010

Last updated

Jun 11, 2025By 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

Enrolled in MI

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

Wayne State University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Norserv Group LTDGroup PAC ID 3577460047, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Norserv Group LTD

  • Mental Health Counselor
  • Saint Clair, MI
  • NPI 1619934650
  Medicare reassignment Care Compare group
• St Clair County Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Marine City, MI
  • NPI 1821133265
  NPD (past)

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1639400351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 N RIVER RD",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480792803",
            "telephone_number": "810-329-4798",
            "fax_number": "810-329-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 N RIVER RD",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480792803",
            "telephone_number": "810-329-4798",
            "fax_number": "810-329-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVENINGRED",
        "first_name": "COURTNEY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Eck
• Elise Edie
• Elizabeth, PLLC (Cornerstone Chiropractic & Wellness Center)
• Nicole Marie Ellis
• Heather Emig
• Barbra J. Eves, R. PH.
• Jacquelyn Ruth Franklin, LMSW
• George L Friederichs, DDS
• Lucas Fulton
• Karishma Gandhi

• Clinical Social Worker in Saint Clair, MI
• Providers in Saint Clair, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.