Eileen Evind, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW97376 Issued in CA

Practice address

100 E St Ste 320
Santa Rosa, CA 95404-4607

Phone

(707) 800-5788

NPI assigned

Oct 7, 2011

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 CA

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eileen.evind.p1@direct.scihp.nextgenshare.com

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.

• Alchemical Counseling Services Licensed Clinical Social Worker, Inc

  • Clinical Social Worker
  • Santa Rosa, CA
  • NPI 1619768736
  Medicare reassignment NPD Authorized official
• Sonoma County Indian Health Project, Inc

  dba Scihp

  • Federally Qualified Health Center (FQHC)
  • Santa Rosa, CA
  • NPI 1265457980
  Medicare reassignment NPD

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1770867731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E ST STE 320",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044607",
            "telephone_number": "707-800-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E ST STE 320",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044607",
            "telephone_number": "707-800-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVIND",
        "first_name": "EILEEN",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW97376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oliver Skye Evans
• Stacey Evans
• Timothy P Everette, MFT INTERN
• Evergreen Pharmaceutical of California, LLC (Omnicare of Santa Rosa #48218)
• Jesse Evers
• Evolve Restorative Center
• Joanne Ewart, M.S.
• Diana Ewing, LVN
• Eberle A. Ewing, MD
• Eye Associates of Sebastopol Medical Group

• Clinical Social Worker in Santa Rosa, CA
• Providers in Santa Rosa, 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 22, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.