Individual provider Active NPI

Heather Renee Evans, LCSW

  • Clinical Social Worker
  • Coopersburg, PA
National Provider Identifier
1659476372
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014556 Issued in PA
Practice address
550 E Station Ave
Coopersburg, PA 18036-2028
Phone
(610) 282-5735
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW014556 PA Primary

Addresses

Primary practice location

550 E Station Ave
Coopersburg, PA 18036-2028

Mailing address

550 E Station Ave
Coopersburg, PA 18036-2028
Phone (610) 282-5735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20061013000535 PA Practitioner - Clinical Social Worker 5496751455 Reassigns benefits to 1 organization
Practice locations: Coopersburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Evans Counseling Services LLCGroup PAC ID 2163837261, 6 clinicians

Practice addresses (Care Compare)

124 S Main St
Coopersburg, PA 18036-1913
Phone (610) 282-5735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Counseling Services, LLC CurrentSince Jul 7, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659476372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E STATION AVE",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180362028",
            "telephone_number": "610-282-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E STATION AVE",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180362028",
            "telephone_number": "610-282-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "HEATHER",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coopersburg, PA

Sources for this page

Verify at the official NPI Registry.