Active NPIIndividual providerSole proprietor

Wendell M Evans, LCSW-R

Social Worker, Clinical in Brooklyn, New York

NPI Number1235977968
Practice location
555 Rockaway Pkwy # 113, Brooklyn, NY 11212-3132
Fax
718-240-5121
Last updated
July 17, 2024

Wendell Margo Maurice Evans is a Social Worker, Clinical based in Brooklyn, NY. Wendell Margo Maurice Evans practices in Brooklyn, NY and has the professional credentials of LCSW-R. The NPI Number for Wendell Margo Maurice Evans is 1235977968 and holds a License No. RO41606-01 (NY). The current practice location address for Wendell Margo Maurice Evans is 555 Rockaway Pkwy # 113, Brooklyn, NY 11212-3132 and can be reached out via phone at 718-240-5121 and via fax at 718-240-5121.

Provider Profile Details

NPI Number
1235977968
Provider Name
Wendell Margo Maurice Evans
Credential
LCSW-R
Provider Entity Type
Individual
Gender
Male
Address
555 Rockaway Pkwy # 113, Brooklyn, NY 11212-3132
Phone Number
718-240-5121
Fax Number
718-240-5121
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 17, 2024
Last Update Date
July 17, 2024
Certification Date
July 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
555 Rockaway Pkwy # 113
Brooklyn, NY 11212-3132
Zip
11212-3132
Phone Number
718-240-5121
Fax Number
718-240-5121
Brooklyn, NY 11212Get directions →

Provider Business Mailing Address Details

Address
130 Overlook Ave Apt 12A
Hackensack, NJ 07601-7804
City
Hackensack
State
NJ
Zip
07601-7804
Phone Number
347-213-8321

License Information

License Number
RO41606-01
License State
NY
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wendell M Evans, LCSW-R?

The NPI number of Wendell M Evans, LCSW-R is 1235977968. It was assigned on July 17, 2024 and is currently active in the NPPES registry.

What is the specialty of Wendell M Evans, LCSW-R?

Wendell M Evans, LCSW-R is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number RO41606-01.

Where does Wendell M Evans, LCSW-R practice?

The practice location is 555 Rockaway Pkwy # 113, Brooklyn, NY 11212-3132. The office can be reached at 718-240-5121 (phone) or 718-240-5121 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235977968 directly on the NPPES registry website.

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