Individual provider · Type 1 NPI

Jennifer L. Evancy, APSW

Clinical Social Worker · Racine, WI

NPI number 1154486876 Active

Practice location

1143 Warwick Way
Racine, WI 53406-5661

Mailing address

800 Goold St
Racine, WI 53402-4567

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X17601-130 (WI)
Clinical Social Worker Primary 1041C0700X8650-123 (WI)

Clinical Social Worker: 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 interpers…

2 other providers at this address

Other clinical social worker providers in Racine

See all in Racine →

About NPI 1154486876

Jennifer L. Evancy, APSW's National Provider Identifier is 1154486876, issued on Dec 22, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Racine, WI. The record was last updated on Feb 11, 2026.