MRS. JACQUELINE ROSE EVANS (NPI# 1639410525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639410525 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE ROSE EVANS |
| Other Name | MRS. JACQUELINE ROSE ROGERS |
| Credential | LCSW, LCADC |
| Practice Address |
3211 W Charleston Blvd Las Vegas NV 89102-1953 |
| Practice Telephone | 7028713730 |
| Practice Fax Number | 7029226600 |
| Mailing Telephone | 7028713730 |
| Mailing Fax Number | 7029226600 |
| Enumeration Date | 2013-03-03 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
00302-C | NV | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 6304-S | NV | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2801 S Valley View Blvd Ste 6, Las Vegas, NV 891020166 | 7029927015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954333 | Jacqueline Evans | Technician | 501 E Lake Mead Pkwy Apt 2313, Henderson, NV 89015-6425 | 2020-08-28 |
| 1154733582 | Jacqueline Celeste Evans | Emergency Medicine | 3551 Roger Brooke Dr # 3600, Fort Sam Houston, TX 78234 | 2014-05-20 |
| 1619268034 | Jacqueline Marie Evans | Massage Therapist | 3604 Laredo Dr, A, Lexington, KY 40517-2173 | 2011-04-20 |
| 1588755441 | Jacqueline Meryl Evans | Internal Medicine | 2818 Audubon Cir, Davis, CA 95618-7600 | 2006-09-27 |
| 1851378871 | Jacqueline Ann Evans | Obstetrics & Gynecology | 2150 Noll Dr, Lancaster, PA 17603 | 2005-12-30 |
| 1235775438 | Jacqueline M Evans | Physician Assistant | 2 Shircliff Way Ste 605, Jacksonville, FL 32204-4762 | 2019-11-22 |
| 1821579335 | Jacqueline Hae Yun Evans | Physician Assistant | 2 W Fern Ave, Redlands, CA 92373-5916 | 2018-08-22 |
| 1245788488 | Jacqueline Evans | Student in an Organized Health Care Education/Training Program | 105 Garfield Ave, Eau Claire, WI 54701-4811 | 2016-09-16 |
| 1194272914 | Jacqueline Michelle Evans | Counselor | 711 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2016-09-09 |
| 1053726315 | Jacqueline Carmen Elizabeth Evans | Optometrist | 10705 W Colfax Ave, Lakewood, CO 80215-3813 | 2014-06-25 |
| Street Address |
3211 W CHARLESTON BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720007198 | Marguerite J Lopresti | Physician Assistant | 3211 W Charleston Blvd, Las Vegas, NV 89102-1953 | 2006-07-18 |
| 1689119612 | Community House Calls of Nevada | Physician Assistant | 3211 W Charleston Blvd, Las Vegas, NV 89102-1953 | 2016-12-29 |
| 1083948723 | Michael See Gardner | Nurse Practitioner | 3211 W Charleston Blvd, Las Vegas, NV 89102-1953 | 2009-09-29 |
| 1235309030 | Robersonltd | Community/Behavioral Health | 3211 W Charleston Blvd, Las Vegas, NV 89102-1953 | 2008-03-07 |
| 1215128335 | Charlezetta Roberson | Physician Assistant | 3211 W Charleston Blvd, Las Vegas, NV 89102-1953 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839216 | Arisha Miller | Social Worker | 3433 Algiers Dr Apt 1189, Las Vegas, NV 89115-2848 | 2020-10-21 |
| 1457960825 | Samantha Moore | Social Worker | 6543 Las Vegas Blvd S, Las Vegas, NV 89119-3223 | 2020-07-30 |
| 1740898493 | Donna Lynn Green | Social Worker | 10000 S Maryland Pkwy Apt 2098, Las Vegas, NV 89183-6392 | 2020-07-20 |
| 1033727193 | Whitney Janeen Davis | Social Worker | 2580 N Rancho Dr Ste 106, Las Vegas, NV 89130-3361 | 2020-07-15 |
| 1255958799 | Joseph Patrick Minnick Jr. | Social Worker | 1320 Red Gable Ln Unit 102, Las Vegas, NV 89144-7012 | 2020-07-01 |
| 1679196414 | Electronic Tax Center | Social Worker | 3450 Tanto Cir, Las Vegas, NV 89121-5047 | 2020-05-27 |
| 1750917548 | Derick Lewis Butler | Social Worker | 6236 Eugene Ave, Las Vegas, NV 89108-3311 | 2020-03-12 |
| 1629601026 | Mended | Social Worker | 6797 Conquistador St, Las Vegas, NV 89149-1315 | 2020-02-14 |
| 1518504745 | Maria Ann Speed | Social Worker | 6160 Rumrill St Unit 218, Las Vegas, NV 89113-7108 | 2019-12-06 |
| 1730734732 | Apollonia Sade Allen | Social Worker | 8610 S Maryland Pkwy Apt 1067, Las Vegas, NV 89123-2725 | 2019-08-06 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on MRS. JACQUELINE ROSE EVANS.
| 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.