Maribi PR Evborokhai, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3218 Issued in HI

Practice address

1650 Cochrane Cir # B7500
Fort Carson, CO 80913-4613

Phone

(719) 526-5050

NPI assigned

Jun 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Maribi Pasion Rondero Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1740220136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR # B7500",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-526-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR # B7500",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-526-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVBOROKHAI",
        "first_name": "MARIBI",
        "middle_name": "PR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIBI",
            "last_name": "RONDERO",
            "middle_name": "PASION",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Joy Evans, PT, OCS
• Nakiera Evans, MD
• Rachel Erin Evans, LCSW
• Remedios Evans
• Evansarmycommunityhospital
• Jennifer Lynn Even, M.D.
• Gary Scott Falzone, PHARM D
• Matthew Nealy Fandre, M.D.
• David Scott Farley, NURSE PRACTITIONER
• Gail McDaniel Farrar, RN

• Clinical Social Worker in Fort Carson, CO
• Providers in Fort Carson, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.