Carrie B Evans LTD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.00001180 Issued in CO

Legal business name

CARRIE B EVANS LTD

Practice address

20 Lakeview Drive
204
Nederland, CO 80466

Phone

(720) 260-2901

Fax

(866) 757-5778

NPI assigned

Jul 14, 2018

Last updated

Jul 14, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carolyn Bond Evans, LCSWNPI 1194957274

Title

Registered Agent

Phone

(720) 260-2901

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carolyn B Evans, LCSW

  • Clinical Social Worker
  • Boulder, CO
  • NPI 1194957274
  NPD (past) Authorized official

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

{
    "created_epoch": "1531526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531526400000",
    "number": "1871079764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3346",
            "city": "NEDERLAND",
            "state": "CO",
            "postal_code": "804663301",
            "telephone_number": "720-260-2901",
            "fax_number": "866-757-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LAKEVIEW DRIVE",
            "address_2": "204",
            "city": "NEDERLAND",
            "state": "CO",
            "postal_code": "80466",
            "telephone_number": "720-260-2901",
            "fax_number": "866-757-5778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Pearl St Ste 13",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803025204",
            "country_code": "US",
            "telephone_number": "720-260-2901",
            "fax_number": "866-757-5778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARRIE B EVANS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-14",
        "last_updated": "2018-07-14",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "BOND",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "720-260-2901",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00001180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alec Biscardi
• Estelle Rose Brewer, MS, RDN, CSCS
• Tracy L. Brewer, P.T.
• Kimberly Bryant, MA, LPC
• Michael A Camarata, MD
• Clinica Campesina Family Health Services (Clinica Family Health)
• Clinica Campesina Family Health Services (Clinica Family Health and Wellness)
• Marri Portia Collom, NP-C
• Columbine Family Care PC
• Columbine Family Medicine

• Clinical Social Worker in Nederland, CO
• Providers in Nederland, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2018; 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.