Active NPI
Rachel Evans, PMHP, PMSW
- School Social Worker
- Omaha, NE
National Provider Identifier
1679056956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 11580
- Practice address
- 2906 N 30TH St
Omaha, NE 68111-3101 - Phone
- (531) 299-7362
- NPI assigned
- Sep 12, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 7266 | NE | |
| School Social Worker | 1041S0200X | 11580 | NE | Primary |
Addresses
Primary practice location
2906 N 30TH St
Omaha, NE 68111-3101
Mailing address
2906 N 30TH St
Omaha, NE 68111-3101
Phone (531) 299-7362
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11580 | NE | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1679056956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2906 N 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681113101",
"telephone_number": "531-299-7362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2906 N 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681113101",
"telephone_number": "531-299-7362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "RACHEL",
"credential": "PMHP, PMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-12",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NE",
"license": "7266",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NE",
"license": "11580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.