Shannon Evans, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-22388 Issued in AZ

Practice address

7750 E Broadway Blvd Ste A100
Tucson, AZ 85710-3902

Phone

(520) 327-1529

NPI assigned

Aug 30, 2024

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

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1548781487
  Medicare reassignment NPD
• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1831062603
  NPD
• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Casa Grande, AZ
  • NPI 1528400538
  NPD (past)
• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1932530797
  NPD (past)

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1750115788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 E BROADWAY BLVD STE A200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103903",
            "telephone_number": "520-327-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 E BROADWAY BLVD STE A100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103902",
            "telephone_number": "520-327-1529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "153 S Plumer Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857196300",
            "country_code": "US",
            "telephone_number": "520-327-6779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SHANNON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-22388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margo Kellow Evans, RN,BSN
• Palmer Chase Evans, M.D.
• Patricia E Evans, B.A.
• Rawley C Evans, NP
• Scott L Evans, DPM
• Shianne Evans, RN
• Sonia Elizabeth Evans, LPC
• Tina Marie Evans, PHARMD
• Christina Evenson, PHARMACY TECHNICIAN
• Eventide Minitries

• Clinical Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.