Evans, Donald

Evans, Donald is an individual health care provider with primary practice located at 814 Madison Ave , Covington KY 41011-2414. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Evans, Donald can be contacted via phone (859) 431-4770.

Contact Information

Primary practice address
814 Madison Ave Covington KY 41011-2414
Phone: (859) 431-4770
Fax: (859) 431-4319
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 1746 Kentucky

Profile Details

NPI number 1841231131
LBN Legal business name Evans, Donald
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841231131 NPPES
Kentucky Other 184607 MEDICARE GROUP NUMBER

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