Mary Jean Evers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05350700 Issued in NJ

Practice address

115 N Church St Ste 1
Moorestown, NJ 08057-2493

Phone

(856) 200-8203

NPI assigned

Jan 13, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Chrysalis Counseling Center

  • Professional Counselor
  • Moorestown, NJ
  • NPI 1902405483

  Clinical

  NPD

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1871244640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N CHURCH ST STE 1",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N CHURCH ST STE 1",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572493",
            "telephone_number": "856-200-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERS",
        "first_name": "MARY",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05350700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed Esmail, DMD
• Charles M. Esposito, D.M.D.
• Christopher V Esposito, DMD
• Genevieve Esposito, DPT
• Evergrowing Smiles LLC
• Excalibur Medical Imaging, LLC
• Excalibur Medical Imaging, PA
• Excalibur Medical Imaging, PA
• Families First Healthcare, LLC.
• Family Medicine Associates, P.a.

• Clinical Social Worker in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.