MS. CAROLYN B EVANS (NPI# 1194957274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194957274 |
| Entity Type | Individual |
| Full Name | MS. CAROLYN B EVANS |
| Credential | LCSW |
| Practice Address |
1221 Pearl St Ste 13 Boulder CO 80302 |
| Mailing Address |
Po Box 3346 Nederland CO 80466-3301 |
| Practice Telephone | 7202602901 |
| Mailing Telephone | 7202602901 |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2018-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1180 | CO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 Lakeview Dr, #204, Nederland, CO 80466 | 7202602901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049777 | Carolyn Evans | Student in an Organized Health Care Education/Training Program | 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 | 2020-10-08 |
| 1902310451 | Carolyn Maxwell Evans | Technician | 554 Ritchie Farm Road, Summersville, WV 26651 | 2017-11-20 |
| 1598084899 | Carolyn Evans | Registered Nurse | 404 Harriman Heights Rd, Harriman, NY 10926-3903 | 2010-05-26 |
| 1033606496 | Carolyn Sue Evans | Case Manager/Care Coordinator | 445 E Dublin Granville Rd, Worthington, OH 43065 | 2018-04-20 |
| 1659647782 | Carolyn Evans | Social Worker | 6809 Fairview Rd, Suite 2, Charlotte, NC 28210-3336 | 2012-03-22 |
| 1366639551 | Carolyn Marie Evans | Counselor | 2100 Comer Ave, Columbus, GA 31904-8725 | 2007-10-02 |
| 1275659468 | Carolyn Patricia Evans | Physician Assistant | 4407 E Lohman Ave, Las Cruces, NM 88011-8267 | 2007-03-21 |
| 1316007883 | Carolyn A. Evans | Pediatrics | 4001 West 15th Street, Suite 375, Plano, TX 75093-5862 | 2006-12-12 |
| Street Address |
1221 PEARL ST STE 13 |
| City | BOULDER |
| State | CO |
| Zip Code | 80302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689202418 | Tara Topper | Counselor | 1221 Pearl St Ste 13, Boulder, CO 80302-5204 | 2020-03-28 |
| 1942768585 | Thrive Psychotherapeutic Services LLC | Counselor | 1221 Pearl St Ste 13, Boulder, CO 80302-5204 | 2019-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323347 | Aviva Naomi Bannerman | Counselor | 2299pearlst., Boulder, CO 80302 | 2020-07-22 |
| 1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
| 1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
| 1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| Find all providers in zip 80302 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1821603085 | Timothy Kleinknecht | Social Worker | 3250 Oneal Cir Apt J36, Boulder, CO 80301-1469 | 2020-09-14 |
| 1831708205 | Center for Valued Living, Pllc | Social Worker | 2825 Marine St Ste 204, Boulder, CO 80303-1027 | 2020-07-30 |
| 1528688140 | Eandd, LLC | Social Worker | 1320 Ithaca Dr, Boulder, CO 80305-6334 | 2020-04-23 |
| 1720639065 | Melissa Thompson | Social Worker | 6007 Oreg Ave, Boulder, CO 80303-1314 | 2019-09-27 |
| 1609426469 | Cathy Summer | Social Worker | 350 Ponca Place, Suite 250, Boulder, CO 80303-3875 | 2019-09-13 |
| 1578126264 | Lenora Rae Schlosser | Social Worker | 2653 Juniper Ave, Boulder, CO 80304-2459 | 2019-04-17 |
| 1619438074 | Wendie J. Vanderwater | Social Worker | 110 Venture Way, Boulder, MT 59632 | 2019-03-28 |
| 1720545148 | Ann Weatherby | Social Worker | 1249 Harrison Ct, Boulder, CO 80303-1138 | 2019-02-21 |
| 1700359460 | Sarah Corrie Shapiro | Social Worker | 121 Kelly Rd E, Boulder, CO 80302-9670 | 2019-01-05 |
| Find all providers in BOULDER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.