MRS. COLLEEN SUE EVANS (NPI# 1093004152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093004152 |
| Entity Type | Individual |
| Full Name | MRS. COLLEEN SUE EVANS |
| Credential | LICSW |
| Practice Address |
4101 Woolworth Ave Omaha NE 68105-1850 |
| Practice Telephone | 4029954396 |
| Practice Fax Number | 4029955679 |
| Mailing Telephone | 4029954396 |
| Mailing Fax Number | 4029955679 |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
857 | NE | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316257124 | Colleen M Evans | Counselor | 410 Maple Avenue, Greensburg, PA 15601 | 2010-10-14 |
| 1588144000 | Colleen Evans | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2018-08-14 |
| 1245781897 | Colleen Elizabeth Evans | Nurse Practitioner | 10 Gove St, East Boston, MA 02128-1920 | 2016-10-19 |
| 1427416445 | Colleen Evans | Counselor | 5350 N Academy Blvd, Suite 101, Colorado Springs, CO 80918-4098 | 2016-02-04 |
| 1740685270 | Colleen Evans | Occupational Therapist | 5756 N Knoll, San Antonio, TX 78240-2238 | 2014-10-27 |
| 1306078605 | Colleen Susan Evans | Social Worker | 330 S 12th St, Suite 4710, Minneapolis, MN 55404-1004 | 2009-08-20 |
| 1659564763 | Colleen Evans | Obstetrics & Gynecology | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2007-08-22 |
| 1609926153 | Colleen Evans | Social Worker | 118 Central St, Waltham, MA 02453-5465 | 2007-01-10 |
| Street Address |
4101 WOOLWORTH AVE |
| City | OMAHA |
| State | NE |
| Zip Code | 68105-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598759870 | Allan Hancock | Dentist | 4101 Woolworth Ave, Dental Department 160, Omaha, NE 68105-1850 | 2005-09-01 |
| 1164034849 | Richard Dunn | Pharmacy Technician | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-08-23 |
| 1558979575 | Kristianna L Farley | Nurse Practitioner | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-07-15 |
| 1427671080 | Kelly Lea Baxter | Pharmacist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-05-18 |
| 1255954806 | Ashleigh Grammar | Pharmacist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-05-18 |
| 1437784170 | Chad Michael Conrad | Respiratory Therapist, Registered | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-03-03 |
| 1437783669 | Jordan Lynn Ruskamp | Registered Nurse | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-02-26 |
| 1467009902 | Michelle Marie Inzauro | Registered Nurse | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2019-08-20 |
| 1720633092 | Jacob Leons | Audiologist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2019-08-05 |
| 1477118230 | Topacio Anahi Ortiz | Dietitian, Registered | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2019-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679018030 | Buoyant Family Services Counseling and Consulting LLC | Community/Behavioral Health | The Center 1941 South 42nd Street, Suite 416 S, Omaha, NE 68105 | 2016-12-21 |
| 1497104442 | Michael Lee Powell | Family Medicine | 4305 Dewey Ave, Omaha, NE 68105 | 2016-06-10 |
| 1164896361 | Kyla Haner | Counselor | 1941 S. 42nd St. Ste 514, Omaha, NE 68105 | 2015-11-25 |
| 1114359189 | Kayli Ann Bendlin | Pharmacist | 4101 Woolworth Ave.-mailstop 119, Va Medical Center-pharmacy Department, Omaha, NE 68105 | 2013-08-01 |
| 1740622372 | Ashley M Ortiz | Nurse Practitioner | 4350 Dewey Avenue, Omaha, NE 68105 | 2013-07-24 |
| 1043519655 | Mandy J Hansen | Counselor | 2101 S. 42nd Street, Omaha, NE 68105 | 2011-03-22 |
| 1851537302 | Magda Maria Blanco | Counselor | 1941 South 42nd St Suite 541, Suite 541, Omaha, NE 68105 | 2009-01-05 |
| 1609050848 | James Joseph Shehan | Internal Medicine | 4100 Woolworth, Omaha, NE 68105 | 2007-12-24 |
| 1407051477 | Cristian D Clark | Counselor | 2101 S 42nd Street, Heartland Family Service, Omaha, NE 68105 | 2007-06-19 |
| 1831312305 | Kelli Renae Welvaert | Counselor | 2101 So 42 St, Heartland Family Service, Omaha, NE 68105 | 2007-04-11 |
| Find all providers in zip 68105 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306461116 | Laura Niehaus | Social Worker | 8869 N 83rd Ave, Omaha, NE 68122-2261 | 2020-06-08 |
| 1861026932 | Juana Lourdes Rangel | Social Worker | 2566 Saint Marys Ave, Omaha, NE 68105-1655 | 2020-02-27 |
| 1891341780 | Amie Houser | Social Worker | 11932 Arbor St Ste 104, Omaha, NE 68144-2986 | 2019-08-15 |
| 1811550403 | Whole Life Counseling & Consulting, Inc. | Social Worker | 5819 S 160th St, Omaha, NE 68135 | 2019-04-18 |
| 1215494943 | Rachel Beranek | Social Worker | 3606 N 156th St Ste 101-299, Omaha, NE 68116-2158 | 2019-02-28 |
| 1649704685 | Timothy Terrell | Social Worker | 2505 N 24th St Ste 223, Omaha, NE 68110-2279 | 2017-04-17 |
| 1548794985 | Caritas Counseling Inc. | Social Worker | 8424 W Center Rd Ste 209, Omaha, NE 68124-3138 | 2017-04-12 |
| 1528416237 | Jana Andrews | Social Worker | 5103 Burt St, Omaha, NE 68132-2221 | 2016-06-03 |
| 1750739090 | Jean Stuto | Social Worker | 3112 N 58th St, Omaha, NE 68104-3449 | 2016-05-26 |
| 1760836332 | Greg Kuipers | Social Worker | 3517 S 90th St, Omaha, NE 68124-3801 | 2016-04-20 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.