Active NPI
Kieran Evans
- Clinical Social Worker
- Alexandria, VA
National Provider Identifier
1639503535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 201 N Union St Ste 110
Alexandria, VA 22314-2663 - Phone
- (703) 755-0284
- NPI assigned
- Aug 27, 2013
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
201 N Union St Ste 110
Alexandria, VA 22314-2663
Mailing address
201 N Union St Ste 110
Alexandria, VA 22314-2663
Phone (703) 755-0284
Other practice location 1
43 Garrison Road
Brookline, MA 02445
Phone (617) 277-8107 ext. 250
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": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1639503535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N UNION ST STE 110",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223142663",
"telephone_number": "703-755-0284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N UNION ST STE 110",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223142663",
"telephone_number": "703-755-0284"
}
],
"practiceLocations": [
{
"address_1": "43 Garrison Road",
"address_purpose": "LOCATION",
"city": "Brookline",
"state": "MA",
"postal_code": "02445",
"country_code": "US",
"telephone_number": "617-277-8107 x250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "KIERAN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.