Individual provider Active NPI

Joanna Patricia Evans, LCSW

  • Social Worker
  • Cary, NC
National Provider Identifier
1700847639
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
C002879 Issued in NC
Practice address
527 Keisler Dr Ste 101
Cary, NC 27518-9306
Phone
(919) 434-6147
NPI assigned
Mar 30, 2006
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X C002879 NC Primary

Addresses

Primary practice location

527 Keisler Dr Ste 101
Cary, NC 27518-9306

Mailing address

PO Box 1600
Cary, NC 27512-1600
Phone (919) 434-6147

Other identifiers 1

IdentifierTypeStateIssuer
6003690MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070410000145 NC Practitioner - Clinical Social Worker 2961507553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

527 Keisler Dr
Suite 101
Cary, NC 27518-9306
Phone (919) 434-6147

PO Box
Suite 1600
Cary, NC 27512-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C002879NCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition & Diabetes Counseling Center of NC, LLC CurrentSince Apr 6, 2025 Accepting new patients
Joanna P Evans LCSW PLLC CurrentSince Jan 1, 2006 Accepting new patients

Locations

1145 Executive Cir
Ste A
Cary, NC 27511
Phone (866) 337-4911

527 Keisler Dr
Ste 101
Cary, NC 27518
Phone (919) 434-6147

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1700847639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1600",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275121600",
            "telephone_number": "919-434-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 KEISLER DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189306",
            "telephone_number": "919-434-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JOANNA",
        "middle_name": "PATRICIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "C002879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003690",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.