Individual provider Active NPI

Taylor Evans, PHD, LCSW

  • Clinical Social Worker
  • Athens, GA
National Provider Identifier
1952769374
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005803 Issued in GA
Practice address
1 Huntington Rd Ste 204
Athens, GA 30606-7206
Phone
(706) 813-4265
NPI assigned
Jan 30, 2016
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW006841 GA
Clinical Social Worker 1041C0700X CSW005803 GA Primary

Addresses

Primary practice location

1 Huntington Rd Ste 204
Athens, GA 30606-7206

Mailing address

1 Huntington Rd Ste 204
Athens, GA 30606-7206
Phone (706) 813-4265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20251119003458 GA Practitioner - Clinical Social Worker 3173010998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Huntington Rd
Suite 204
Athens, GA 30606-7204

1 Huntington Rd
Suite 204
Athens, GA 30606-7206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MSW006841GAMDSocial Worker
CSW005803GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Athens, LLC CurrentSince Nov 7, 2025 Accepting new patients
Kendall P. Weinberg Counseling, LLC PastSince Nov 3, 2019 Accepting new patients

Locations

1 Huntington Rd
Ste 204
Athens, GA 30606
Phone (706) 543-4948

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1454112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1952769374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD STE 204",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067206",
            "telephone_number": "706-813-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD STE 204",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067206",
            "telephone_number": "706-813-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TAYLOR",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-30",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW006841",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.