Active NPI
Shaunna Tynice Evans, LGSW
- Social Worker
- Chantilly, VA
National Provider Identifier
1982593984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LG200001704
- Practice address
- 14900 Bogle Dr Ste 200
Chantilly, VA 20151-1757 - Phone
- (571) 484-7639
- NPI assigned
- Jul 2, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LG200001704 | DC | Primary |
Addresses
Primary practice location
14900 Bogle Dr Ste 200
Chantilly, VA 20151-1757
Mailing address
21687 Dovekie Ter
Ashburn, VA 20147-3063
Phone (703) 434-0229
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG200001704 | DC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1982593984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21687 DOVEKIE TER",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201473063",
"telephone_number": "703-434-0229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14900 BOGLE DR STE 200",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201511757",
"telephone_number": "571-484-7639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "SHAUNNA",
"middle_name": "TYNICE",
"name_prefix": "Ms.",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-02",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LG200001704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chantilly, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.