Martinek Tuebia Evans, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

BP00943157 Issued in WV

Practice address

1000 Mon Health Medical Park Dr Ste 1202
Morgantown, WV 26505

Phone

(304) 599-1975

Fax

(304) 599-2705

NPI assigned

Mar 25, 2013

Last updated

May 22, 2018By the provider in NPPES

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

Other names 1

• Martinek T. Evans Professional name

Medicare fee-for-service enrollment

Enrolled in NC

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lotus Care Psychological Services, PLLCGroup PAC ID 8022484369, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lotus Care Psychological Services, PLLC

  • Clinical Psychologist
  • Shannon, NC
  • NPI 1104565407
  Medicare reassignment Care Compare group NPD
• Fayetteville Neuropsychology PLLC

  • Clinical Neuropsychologist
  • Fayetteville, NC
  • NPI 1053830315
  Medicare reassignment NPD
• Valley Comprehensive Community Mental Health Center

  dba Valley HealthCare System

  • Community/Behavioral Health Agency
  • Morgantown, WV
  • NPI 1154740660
  NPD (past)

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1891037107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MON HEALTH MEDICAL PARK DR STE 1202",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051143",
            "telephone_number": "304-599-1975",
            "fax_number": "304-599-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MON HEALTH MEDICAL PARK DR STE 1202",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26505",
            "telephone_number": "304-599-1975",
            "fax_number": "304-599-2705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Medical Park Dr",
            "address_2": "Ste 401",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "WV",
            "postal_code": "263309012",
            "country_code": "US",
            "telephone_number": "304-848-2000",
            "fax_number": "304-848-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MARTINEK",
        "middle_name": "TUEBIA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00943157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTINEK",
            "last_name": "EVANS",
            "middle_name": "T.",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Theresa Evanoff, MS
• Amanda R Evans, RNFA
• Dianna Lynn Evans
• Joan Marie Evans, LCSW, LPC
• Kayla Michelle Evans, NP-C
• Melissa Evans
• Michael Brian Evans, DDS
• Amy Pauline Everett, DDS
• Mauirce Everett
• Ronald Everhart, DO

• Social Worker in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.