Individual provider Active NPI

D Trevor Evans, MS

  • Clinical Social Worker
  • Pottstown, PA
National Provider Identifier
1790827608
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017577 Issued in PA
Practice address
600 Creekside Dr
Suite 601
Pottstown, PA 19464-9204
Phone
(610) 326-2728
Fax
(610) 326-2750
NPI assigned
Feb 14, 2007
Last updated
Apr 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW017577 PA Primary

Addresses

Primary practice location

600 Creekside Dr
Suite 601
Pottstown, PA 19464-9204

Mailing address

600 Creekside Dr
Suite 601
Pottstown, PA 19464-9204
Phone (610) 326-2728

Other identifiers 1

IdentifierTypeStateIssuer
124567129OtherPAGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20130503000156 PA Practitioner - Clinical Social Worker 2567609936 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
DGR Management Inc. CurrentSince Oct 17, 2013 Accepting new patients
Innovative Counseling Associates PC PastSince Feb 9, 2026 Accepting new patients

Locations

2201 Ridgewood Rd
Ste 400
Wyomissing, PA 19610
Phone (610) 378-9601

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1790827608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CREEKSIDE DR",
            "address_2": "SUITE 601",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194649204",
            "telephone_number": "610-326-2728",
            "fax_number": "610-326-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CREEKSIDE DR",
            "address_2": "SUITE 601",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194649204",
            "telephone_number": "610-326-2728",
            "fax_number": "610-326-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "D",
        "middle_name": "TREVOR",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "124567129",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.