JEROME C EVANS (NPI# 1679592661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679592661 |
| Entity Type | Individual |
| Full Name | JEROME C EVANS |
| Credential | LCSW |
| Practice Address |
1300 Dixie Ln S Saint Petersburg FL 33707-3914 |
| Practice Telephone | 7278235555 |
| Mailing Telephone | 7278235555 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2013-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW2478 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BX | Z3918A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093007437 | Jerome Evans | Audiologist-Hearing Aid Fitter | 21 Spurs Ln Ste 160, San Antonio, TX 78240 | 2011-05-04 |
| 1205012457 | Jerome Kennedy Evans Jr. | Counselor | 15305 Rayen St, North Hills, CA 91343-5117 | 2008-01-18 |
| Street Address |
1300 DIXIE LN S |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33707-3914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
| 1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
| 1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
| 1558551580 | Linda K Barchie | Massage Therapist | 7230 Central Avenue, St Petersburg, FL 33707 | 2007-07-26 |
| 1487790770 | Margaret Helen Young | Dentist | 509 Pasadena Avenue South, St Petersburg, FL 33707 | 2007-01-30 |
| 1063567279 | Jack M Hafer | Dentist | 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 | 2007-01-25 |
| 1740331305 | Suncoast O2 Systems Inc. | Durable Medical Equipment & Medical Supplies | 5213 1st Avenue S, St. Petersburg, FL 33707 | 2007-01-12 |
| 1902987902 | Demekisa Sidamo Davis | Acupuncturist | 5301 Gulfport Blvd, Gulfport, FL 33707 | 2006-10-17 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1457443004 | Darla Marie Keyes | Physical Therapist | 2825 Seabreeze Dr, Gulfport, FL 33707 | 2006-09-29 |
| Find all providers in zip 33707 | ||||
| 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 |
|---|---|---|---|---|
| 1538713177 | Adrianna Opal Tomljanovich | Social Worker | 3621 35th St N, Saint Petersburg, FL 33713-1452 | 2019-07-31 |
| 1366955205 | Kathy S Buell | Social Worker | 6177 Sun Blvd Apt 404, Saint Petersburg, FL 33715-1146 | 2017-11-14 |
| 1710401740 | Sherri Ann Cothran | Social Worker | 1451 63rd Ter S, Saint Petersburg, FL 33705-5845 | 2017-08-01 |
| 1902173354 | Sara Pankey | Social Worker | 1710 Follow Thru Rd N, Saint Petersburg, FL 33710-3722 | 2011-11-29 |
| 1467732842 | Macklyn Kelley Moorhead | Social Worker | 10263 Gandy Blvd N Apt 2114, Saint Petersburg, FL 33702-2329 | 2011-08-17 |
| 1770877474 | William Vernard Burkett | Social Worker | 3747 34th St S, Saint Petersburg, FL 33711-3836 | 2011-05-31 |
| 1871721233 | Patrick Richard Mullen | Social Worker | 3108 58th Ave N, Saint Petersburg, FL 33714-1331 | 2009-06-24 |
| 1255451373 | Jeanna R Orphanidys | Social Worker | 4427 Central Ave, Saint Petersburg, FL 33713-8232 | 2007-03-30 |
| 1467506238 | Kelly Best Davidson | Social Worker | 4151 6th St S, Saint Petersburg, FL 33705-3909 | 2007-01-22 |
| 1700961109 | Michael A Maza | Social Worker | 1050 25th St N, Saint Petersburg, FL 33713-6842 | 2006-10-25 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33707 |
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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.