Active NPI
Rachel K. Evans, L.C.S.W.
- Clinical Social Worker
- Ulster Park, NY
National Provider Identifier
1922217587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R044582-1
- Practice address
- 93 Riverview CT
Ulster Park, NY 12487-5123 - Phone
- (845) 481-0049
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R044582-1 | NY | Primary |
Addresses
Primary practice location
93 Riverview CT
Ulster Park, NY 12487-5123
Mailing address
93 Riverview CT
Ulster Park, NY 12487-5123
Phone (845) 481-0049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R044582-1 | NY | MD | Clinical Social Worker |
| 044582 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1922217587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 RIVERVIEW CT",
"city": "ULSTER PARK",
"state": "NY",
"postal_code": "124875123",
"telephone_number": "845-481-0049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 RIVERVIEW CT",
"city": "ULSTER PARK",
"state": "NY",
"postal_code": "124875123",
"telephone_number": "845-481-0049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "RACHEL",
"middle_name": "K.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R044582-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ulster Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.