Natalie Lissette Evans

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110980 Issued in CA

Practice address

9291 Old Redwood Hwy # 500
Windsor, CA 95492-8089

Phone

(707) 837-7700

NPI assigned

Feb 24, 2020

Last updated

May 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Individuals Now, Inc

  dba Social Advocates for Youth

  • Adolescent and Children Mental Health Clinic/Center
  • Santa Rosa, CA
  • NPI 1790822955
  NPD (past)
• Windsor Unified School District

  • Local Education Agency (LEA)
  • Windsor, CA
  • NPI 1770622664
  NPD (past)

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1720612138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9291 OLD REDWOOD HWY # 500",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954928089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9291 OLD REDWOOD HWY # 500",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954928089",
            "telephone_number": "707-837-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2447 Summerfield Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954057815",
            "country_code": "US",
            "telephone_number": "707-544-3299 x234",
            "fax_number": "707-703-4910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "NATALIE",
        "middle_name": "LISSETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW90001",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "110980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dumolin Service Corp. (DuMolin Community Living)
• Joel Dyer
• Bryan James Eberle, P.A.
• Anastasia Eliseeva
• Paige Esposti, LCSW
• Frances Dee Filgas, MD
• Find Your Freedom Counseling and Consultation
• Barbara Finley, MS, PPS
• Firstsight Vision Services, Inc.
• Elizabeth Flower, M.D.

• Clinical Social Worker in Windsor, CA
• Providers in Windsor, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.

Verify at the official NPI Registry.