Van Evans, MSW, PHD CANDIDATE

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6634597-3502 Issued in UT

Practice address

3970 S 700 E
Suite #17
Salt Lake City, UT 84107-2191

Phone

(801) 906-3107

NPI assigned

Nov 5, 2013

Sex

Male

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1932538519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 E CASTO LN",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841176302",
            "telephone_number": "801-906-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 S 700 E",
            "address_2": "SUITE #17",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072191",
            "telephone_number": "801-906-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "VAN",
        "name_prefix": "Mr.",
        "credential": "MSW, PHD CANDIDATE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6634597-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn James Evans, L.C.S.W.
• Shelbe Evans
• Spencer Louis Evans
• Sunny Evans
• Terri Evans, PHARM.D.
• William Joseph Evans, PHARMD
• Wyatt Evans
• Kira Shayn Evensen
• Bret Everding
• Anna Ruth Everett, PA

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.