Robert Mark Evans, LCSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19475 Issued in TX

Practice address

1155 Pressler St
Ut MD Anderson Cancer Prevention BLDG Unit 1330
Houston, TX 77030-3721

Phone

(713) 792-5927

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Mark Evans Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770606972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MONTROSE BLVD",
            "address_2": "UNIT 1103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770064658",
            "telephone_number": "713-447-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 PRESSLER ST",
            "address_2": "UT MD ANDERSON CANCER PREVENTION BLDG UNIT 1330",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303721",
            "telephone_number": "713-792-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ROBERT",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LCSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "19475",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0413121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "EVANS",
            "prefix": "MR.",
            "credential": "LCSW, ACSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paul Douglas Evans, MD
• Rachel Diane Evans, LCSW
• Randolph Warren Evans, MD
• Richard A Evans, M.D.
• Robert B. Evans, PA-C
• Sara Miriam Evans, LCSW
• Sasha Evans, PTA
• Scott E. Evans, M.D.
• Sue Evans, PTA
• Tara Elizabeth Evans, OTR

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.