Javai Dominique Evans, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50080681 Issued in DC

Practice address

5901 Utah Ave NW
Washington, DC 20015-1616

Phone

(202) 363-1333

NPI assigned

Sep 24, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1801265442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 UTAH AVENUE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200153091",
            "telephone_number": "202-363-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 UTAH AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200151616",
            "telephone_number": "202-363-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JAVAI",
        "middle_name": "DOMINIQUE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "18326",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Evans
• Imani Evans, SLP
• Janice M Evans
• Janis Leslie Evans, M.ED., N.C.C., L.P.C
• Jarmel Raheem Evans
• Jillian Graham Evans, M.D.
• Joyce Isabel Evans
• Julius R Evans
• Karen Kim Evans, M.D.
• Kayla Andrea Evans

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; 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.