Active NPI
Jada Evans
- Social Worker
- Norwood, MA
National Provider Identifier
1720458094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 225864
- Practice address
- 18 Sturtevant Ave
Apt. 1
Norwood, MA 02062 - Phone
- (617) 435-1883
- NPI assigned
- Sep 30, 2015
- 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 |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | |||
| Social Worker | 104100000X | 225864 | MA | Primary |
Addresses
Primary practice location
18 Sturtevant Ave
Apt. 1
Norwood, MA 02062
Mailing address
18 Sturtevant Ave
Apt. 1
Norwood, MA 02062-4413
Phone (617) 435-1883
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 |
|---|---|---|---|
| 225864 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1720458094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 STURTEVANT AVE",
"address_2": "APT. 1",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020624413",
"telephone_number": "617-435-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 STURTEVANT AVE",
"address_2": "APT. 1",
"city": "NORWOOD",
"state": "MA",
"postal_code": "02062",
"telephone_number": "617-435-1883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JADA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-30",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "225864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.