Active NPI
Evelyn M Sites, LCSW, CADC
- Clinical Social Worker
- London, KY
National Provider Identifier
1679915656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1825
- Practice address
- 60 Bennett Cir
London, KY 40741-2842 - Phone
- (606) 862-9132
- Fax
- (606) 862-9334
- NPI assigned
- Jul 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1825 | KY | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0965 | KY |
Addresses
Primary practice location
60 Bennett Cir
London, KY 40741-2842
Mailing address
60 Bennett Cir
London, KY 40741-2842
Phone (606) 862-9132
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 |
|---|---|---|---|
| 0965 | KY | MD | Addiction (Substance Use Disorder) Counselor |
| 1825 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401667200000",
"number": "1679915656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 BENNETT CIR",
"city": "LONDON",
"state": "KY",
"postal_code": "407412842",
"telephone_number": "606-862-9132",
"fax_number": "606-862-9334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 BENNETT CIR",
"city": "LONDON",
"state": "KY",
"postal_code": "407412842",
"telephone_number": "606-862-9132",
"fax_number": "606-862-9334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SITES",
"first_name": "EVELYN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LCSW, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-19",
"last_updated": "2014-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "1825",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "0965",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.