Active NPIIndividual providerSole proprietor

Ms. Blythe Evans, LCSW

Social Worker, Clinical in Brookfield, Connecticut

NPI Number1902233299
Practice location
12 Red Barn Ln, Brookfield, CT 06804-3700
Fax
203-346-6119
Last updated
October 1, 2013

Blythe Evans is a Social Worker, Clinical based in Brookfield, CT. Blythe Evans practices in Brookfield, CT and has the professional credentials of LCSW. The NPI Number for Blythe Evans is 1902233299 and holds a License No. 006814 (CT). The current practice location address for Blythe Evans is 12 Red Barn Ln, Brookfield, CT 06804-3700 and can be reached out via phone at 203-775-4294 and via fax at 203-346-6119.

Provider Profile Details

NPI Number
1902233299
Provider Name
Blythe Evans
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
12 Red Barn Ln, Brookfield, CT 06804-3700
Phone Number
203-775-4294
Fax Number
203-346-6119
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 1, 2013
Last Update Date
October 1, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Red Barn Ln
Brookfield, CT 06804-3700
Zip
06804-3700
Phone Number
203-775-4294
Fax Number
203-346-6119
Brookfield, CT 06804Get directions →

Provider Business Mailing Address Details

Address
12 Red Barn Ln
Brookfield, CT 06804-3700
City
Brookfield
State
CT
Zip
06804-3700
Phone Number
203-775-4294
Fax Number
203-346-6119

License Information

License Number
006814
License State
CT
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 Ms. Blythe Evans, LCSW?

The NPI number of Ms. Blythe Evans, LCSW is 1902233299. It was assigned on October 1, 2013 and is currently active in the NPPES registry.

What is the specialty of Ms. Blythe Evans, LCSW?

Ms. Blythe Evans, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 006814.

Where does Ms. Blythe Evans, LCSW practice?

The practice location is 12 Red Barn Ln, Brookfield, CT 06804-3700. The office can be reached at 203-775-4294 (phone) or 203-346-6119 (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 1902233299 directly on the NPPES registry website.

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