Susan Ethel Evans, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004105 Issued in WA

Practice address

434 Orondo Ave
Wenatchee, WA 98801-2828

Phone

(509) 662-7632

Fax

(509) 662-3919

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902963671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 ORONDO AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012828",
            "telephone_number": "509-662-7632",
            "fax_number": "509-662-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 ORONDO AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012828",
            "telephone_number": "509-662-7632",
            "fax_number": "509-662-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SUSAN",
        "middle_name": "ETHEL",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Larue Ettinger, MD
• Thomas B Ettinger, MD
• Itzel Evans-Ramirez, SUDPT
• Camille Evans
• Michael Monroe Evans
• Janis E Everett, PA-C
• Evergreen Optical Inc.
• Amy Evitt
• Eye & Ear Clinic of Wenatchee Inc
• Eye & Ear Clinic of Wenatchee Inc

• Clinical Social Worker in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.