Individual provider · Type 1 NPI

Stephanie Evans, LCSW

Clinical Social Worker · Moody Afb, GA

NPI number 1477088631 Active

Practice location

3280 Mitchell Blvd
Moody Afb, GA 31699-1580

Call (229) 257-2778 Map

Mailing address

4937 US Highway 98 N # 9101
Lakeland, FL 33809-3610

Other practice locations

  • 8910 N Dale Mabry Hwy Ste 2, Tampa, FL 33614-1580 · (813) 527-8976

Specialties and licenses

TaxonomyCodeLicense
Psychoanalyst 102L00000XSW16883 (FL)
Social Worker 104100000XSW16883 (FL)
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XSW16883 (FL)

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…

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About NPI 1477088631

Stephanie Evans, LCSW's National Provider Identifier is 1477088631, issued on Apr 25, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moody Afb, GA. The record was last updated on Jun 13, 2024.