Tia Theann Evans, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010304 Issued in NC

Practice address

801 Clanton Rd # Rc114
Charlotte, NC 28217-1372

Phone

(704) 840-6088

Fax

(800) 506-0738

NPI assigned

Jul 24, 2014

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

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

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 Change From Within Counseling Center PLLC

  • Clinical Social Worker
  • Hickory, NC
  • NPI 1689236812
  Medicare reassignment NPD Authorized official
• The Center for Love, Sex & Intimacy PLLC

  • Adult Mental Health Clinic/Center
  • Catawba, NC
  • NPI 1659933323
  NPD Authorized official
• Cydcherease McDaniel, LCSW

  • Clinical Social Worker
  • Gastonia, NC
  • NPI 1972840932
  Medicare reassignment
• Trupoint Wellness

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1629806443
  NPD (past)
• Side by Side Counseling

  • Mental Health Counselor
  • Austin, TX
  • NPI 1942890140
  NPD (past)

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1932517836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 CLANTON RD # RC114",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171372",
            "telephone_number": "704-840-6088",
            "fax_number": "800-506-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CLANTON RD # RC114",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171372",
            "telephone_number": "704-840-6088",
            "fax_number": "800-506-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TIA",
        "middle_name": "THEANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "19BH3",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "C010304",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lilian Qushair Evans, MD
• Phenix John Evans
• Shamori Evans
• Susan Lynn Evans, MD
• Tamahra Lovie Evans
• Toni I Evans, MD
• Wallace Rockwell Evans III, RPH
• Gerald Evariste, LCMHCA
• Caroline Lauren Evatt, RBT
• Lauren Ashley Eve, PHARMD

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.