GENEVRA B EVANS (NPI# 1639237860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639237860 |
| Entity Type | Individual |
| Full Name | GENEVRA B EVANS |
| Credential | LCSW |
| Practice Address |
66 Western Ave Fairfield ME 04937-1337 |
| Mailing Address |
152 Couillard Rd Palermo ME 04354-7666 |
| Practice Telephone | 2074534365 |
| Practice Fax Number | 2074534371 |
| Mailing Telephone | 2079932741 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC6737 | ME | Behavioral Health & Social Service Providers |
| Street Address |
66 WESTERN AVE |
| City | FAIRFIELD |
| State | ME |
| Zip Code | 04937-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245229749 | Fairfield Pharmacy | Pharmacist | 66 Western Ave, Fairfield, ME 04937-1337 | 2005-10-18 |
| 1336503770 | Leah E Dostie | Pharmacist | 66 Western Ave, Fairfield, ME 04937-1337 | 2016-04-12 |
| 1083045322 | Clayton Smith | Pharmacist | 66 Western Ave, Fairfield, ME 04937-1337 | 2013-12-12 |
| 1083942684 | Christine Marie Stevens-sheehan | Counselor | 66 Western Ave, Fairfield, ME 04937-0378 | 2009-11-20 |
| 1225366875 | Sara Alanna Poulin | Counselor | 66 Western Ave, Fairfield, ME 04937-1337 | 2009-11-19 |
| 1649397936 | June Muriel Thurston | Social Worker | 66 Western Ave, Fairfield, ME 04937-1337 | 2007-03-23 |
| 1922124445 | Luc Snipe | Counselor | 66 Western Ave, Fairfield, ME 04937-1337 | 2007-03-22 |
| 1417073008 | Beth Ann Calvert | Social Worker | 66 Western Ave, Fairfield, ME 04937-1337 | 2007-03-22 |
| 1710003371 | Joel Leigh Thornton | Social Worker | 66 Western Ave, Fairfield, ME 04937-1337 | 2007-03-22 |
| 1205987526 | Shane G Savage | Pharmacist | 66 Western Ave, Fairfield, ME 04937-1337 | 2007-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285171629 | Caroline Walsh Toto-lawrence | Technician | 258 Ridge Road, Fairfield, ME 04937 | 2017-01-24 |
| 1396144002 | Debra Ann Doody | Dental Hygienist | 294 Rt 201 - Skowhegon Road, Fairfield, ME 04937 | 2014-08-19 |
| 1922011840 | Robert Carroll Turner | Dentist | 294 Route 201, Fairfield, ME 04937 | 2006-08-14 |
| 1932152279 | Eastern Maine Homecare | Home Health | 24 Lawrence Drive, Fairfield, ME 04937 | 2006-05-18 |
| 1053387936 | Michael E Clark | Family Medicine | 4 Sheridan Drive, Fairfield, ME 04937 | 2006-02-28 |
| 1235770454 | Ronald Allan Dyer | Registered Nurse | 113 Main Street, Fairfield, ME 04937 | 2019-09-30 |
| 1780605550 | Jose Antonio Ramirez | Orthopaedic Surgery | 107 First Park Drive, Oakland, ME 04937 | 2006-07-21 |
| 1043274046 | James Earl Dunlap | Family Medicine | 4 Sheridan Drive, Fairfield, ME 04937 | 2006-04-14 |
| 1295953743 | Tania Coy Gardiner Hassard | Optometrist | 30 Main St, Fairfield, ME 04937-1120 | 2007-04-22 |
| 1871827055 | Eastern Maine Homecare | Hospice Care, Community Based | 24 Lawrence Ave, Fairfield, ME 04937-1221 | 2009-09-22 |
| Find all providers in zip 04937 | ||||
| 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] |
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| 1437757838 | Tree of Life Centers | Social Worker | 191 Catherine Ter, Fairfield, CT 06824-6463 | 2020-10-16 |
| 1386260040 | Phoebe Ward Gould Musico | Social Worker | 45 Pope St, Fairfield, CT 06825-4328 | 2020-06-18 |
| 1003445008 | Jennifer Mikell Lincoln | Social Worker | 1325 Crowley Ln Apt 6, Fairfield, CA 94533-6001 | 2020-04-02 |
| 1174166185 | Holly Mundon | Social Worker | 5 Darby Heath, Fairfield, OH 45014-5261 | 2019-10-22 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1730642935 | Susan Lipman Henry | Social Worker | 35 Nutmeg Ln, Fairfield, CT 06824-3909 | 2019-04-13 |
| 1689138133 | Sue Nadel | Social Worker | 60 Hitching Post Ln, Fairfield, CT 06824-3133 | 2019-01-29 |
| 1194296905 | Claudia Mast | Social Worker | 301 W Burlington, Fairfield, IA 52556-5255 | 2018-12-06 |
| 1942782842 | Michael Joseph Molina | Social Worker | 510 Parker Rd, Fairfield, CA 94533-9000 | 2018-09-06 |
| 1134605256 | Ashley Marie Stringer | Social Worker | 7000 Grasselli Rd, Fairfield, AL 35064-2424 | 2018-07-11 |
| Find all providers in FAIRFIELD | ||||
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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.