MS. SUSAN EVANS (NPI# 1972753341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972753341 |
| Entity Type | Individual |
| Full Name | MS. SUSAN EVANS |
| Credential | LCSW |
| Practice Address |
4009 Pinecrest Dr Champaign IL 61822-9214 |
| Mailing Address |
4009 Pinecrest Champaign IL 61822 |
| Practice Telephone | 2173596104 |
| Mailing Telephone | 2173596104 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.010353 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143446 | Susan Elizabeth Evans | Nurse Practitioner | 2540 Elko Rd, Elko, GA 31025-2202 | 2020-10-28 |
| 1841842085 | Susan Marie Evans | Home Health | 1319 Lyon St Apt B, Columbia, SC 29204-1993 | 2019-07-09 |
| 1174099352 | Susan Beth Evans | Occupational Therapist | 320 Town Center Blvd Ste C-101, White Lake, MI 48386-2183 | 2018-10-16 |
| 1760957773 | Susan Evans | Occupational Therapist | 443 Fairmont Ter, Port Charlotte, FL 33954-3462 | 2018-10-05 |
| 1932682630 | Susan Esther Evans | Occupational Therapist | 201 S Lloyd St Ste W210, Aberdeen, SD 57401-4521 | 2018-09-10 |
| 1659815850 | Susan Jane Evans | Counselor | 3836 Sacramento St, San Francisco, CA 94118-1626 | 2016-12-07 |
| 1023486693 | Susan Evans | Developmental Therapist | 4000 Eagle Point Corporate Dr Ste 500, Birmingham, AL 35242-1900 | 2015-09-12 |
| 1316296130 | Susan Evans | Physician Assistant | 1523 New York Ave, Brooklyn, NY 11210-2738 | 2012-09-07 |
| 1801198924 | Susan Gail Evans | Massage Therapist | 210 West Evergreen Elite Muscular Therapy, Suite 500, Vancouver, WA 98660 | 2010-11-22 |
| 1891908380 | Susan Van Giesen Evans | Psychologist | 3625 Brookside Pkwy, Suite 545, Alpharetta, GA 30022-3718 | 2007-05-08 |
| Street Address |
4009 PINECREST DR |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822-9214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| 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 |
|---|---|---|---|---|
| 1336759620 | Telos Health and Wellness Services, LLC | Social Worker | 907 W Marketview Dr Ste 10, Champaign, IL 61822-1250 | 2020-08-03 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1932730835 | Katina Wilcher | Social Worker | 609 Crestwood Dr, Champaign, IL 61822-7369 | 2020-01-29 |
| 1417596685 | Heather Johnson | Social Worker | 1815 Crescent Dr, Champaign, IL 61821-5829 | 2020-01-05 |
| 1518425230 | Kc Counseling, LLC | Social Worker | 206 N Randolph St Ste 508, Champaign, IL 61820-3949 | 2019-03-12 |
| 1134692536 | Felicia Huiyan Li | Social Worker | 3115 Village Office Pl, Champaign, IL 61822-7673 | 2019-01-08 |
| 1528575958 | David H. Crowley and Associates Ltd | Social Worker | 100 N Chestnut St Ste 231, Champaign, IL 61820-4856 | 2018-01-08 |
| 1356850457 | Jessica L Wiley | Social Worker | 701 Devonshire Dr Ste B16-18, Champaign, IL 61820-7337 | 2017-09-21 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1770938359 | Champaign Counseling LLC | Social Worker | 313 N Mattis Ave Ste 209, C/o Erik Olson, Champaign, IL 61821-2461 | 2016-05-02 |
| Find all providers in CHAMPAIGN | ||||
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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.