JENNA IRENE EVANS


Address: 167 Polk St, Suite 300, Watertown, NY 13601-2097
Phone: 3157827445

JENNA IRENE EVANS (NPI# 1114386141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114386141
Entity Type Individual
Full Name JENNA IRENE EVANS
Credential MSW
Practice Address 167 Polk St
Suite 300
Watertown
NY 13601-2097
Mailing Address Po Box 6550
Watertown
NY 13601-6550
Practice Telephone 3157827445
Practice Fax Number 3157791184
Mailing Telephone 3157827445
Mailing Fax Number 3157791184
Enumeration Date 2016-02-18
Last Update Date 2016-02-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Other Providers JENNA EVANS

NPI Name Taxonomy Address Enumeration
1821636606 Jenna Evans Registered Nurse 130 Hunter Station Way Ste 202, Sellersburg, IN 47172-8932 2019-12-12
1851892962 Jenna Evans Licensed Vocational Nurse 1320 Inglewood Dr, Stephenville, TX 76401-1611 2018-02-23
1215560958 Jenna Evans Counselor 2215 Langhorne Rd, Lynchburg, VA 24501-1121 2020-02-21
1659819233 Jenna Evans Physician Assistant 609 Se Kent St, Greenfield, IA 50849-9454 2017-02-03
1932653912 Jenna Gronli Evans Counselor 2275 Arlington Dr, San Leandro, CA 94578-1132 2016-08-08

Office Location

Street Address 167 POLK ST
SUITE 300
City WATERTOWN
State NY
Zip Code 13601-2097

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770625527 The Childrens Hm Jefferson Mh Case Management 167 Polk St, Suite 300, Watertown, NY 13601-2763 2007-02-12
1346771110 Livia Margaret Kubica Social Worker 167 Polk St, Suite 300, Watertown, NY 13601-2097 2017-03-23
1043754864 Shay Eileen Park Richards Social Worker 167 Polk St, Suite 300, Watertown, NY 13601-2097 2016-12-13
1184176273 David Hall Social Worker 167 Polk St, Suite 300, Watertown, NY 13601-2097 2016-10-25
1144770637 Angela Matthews Student in an Organized Health Care Education/Training Program 167 Polk St, Suite 300, Watertown, NY 13601-2097 2016-10-07
1528517174 Brenda Bonnie Messer Social Worker 167 Polk St, Suite 300, Watertown, NY 13601-2097 2016-09-23
1154877546 Kristen M Martin Counselor 167 Polk St, Suite 300, Watertown, NY 13601-2097 2016-08-26
1902351802 Shannon Huntsman Student in an Organized Health Care Education/Training Program 167 Polk St, Suite 300, Watertown, NY 13601-2097 2016-08-20
1891249066 Angela Steffan Nasworthy Student in an Organized Health Care Education/Training Program 167 Polk St, Suite 300, Watertown, NY 13601-2097 2016-08-05
1518411784 Olga Harbuz Student in an Organized Health Care Education/Training Program 167 Polk St, Suite 300, Watertown, NY 13601-2097 2016-08-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801414156 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 2020-07-13
1083231377 Katherine Anne Cahill Counselor 22679 Duffy Road, Watertown, NY 13601 2020-07-02
1851855431 Hanna Kearney Physical Therapist 20053 Summit View Blvd Ste 2, Watertown, NY 13601 2019-01-28
1578039905 North Country Counseling Services LLC Counselor 210 Court St. Suite 4, Watertown, NY 13601 2018-10-24
1073004388 Megan Anna O'brien Counselor 221 S Rutland Street, Watertown, NY 13601 2018-05-22
1558860536 Kimberly Lynne Amelio Specialist 24850 Hinds Rd, Watertown, NY 13601 2018-02-06
1952840050 Alberto Gonzalez Social Worker 211 Jb Wise Plaza, Watertown, NY 13601 2017-02-22
1073967386 Amanda Pisarski Licensed Practical Nurse 26713 Nys Rte 12, Watertown, NY 13601 2016-04-22
1396137709 Daniel Ernest Morgan Neuromusculoskeletal Medicine & OMM 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 2015-02-21
1568868131 Megan E. Zamora Dental Hygienist 14652-b Cedar Way, Watertown, NY 13601 2014-11-10
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801420989 Johnna Renee Pupillo Social Worker 1220 Coffeen St Bldg 17, Watertown, NY 13601-1897 2020-02-27
1356820914 Laura Andrews Social Worker 218 Palfrey St, Watertown, MA 02472-1836 2018-08-14
1982193504 Ruth Audrey Silverstein Social Worker Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 2018-05-09
1952840050 Alberto Gonzalez Social Worker 211 Jb Wise Plaza, Watertown, NY 13601 2017-02-22
1366836264 Jillian M Viessman Social Worker 1424 9th Ave Se Ste 7, Watertown, SD 57201-5361 2015-03-28
1891046462 Joseph I Lubashevsky Social Worker 167 Polk St Ste 300, Watertown, NY 13601-2770 2012-09-24
1114216124 Cynthia Lee Knoell Social Worker 900 Deerfield Rd, Watertown, MN 55388-9271 2011-03-30
1154652212 Jenna K. Daniels Social Worker 507 Margaret St, Watertown, WI 53098-2541 2010-01-28
1235464058 Joanna G. Dailey Social Worker 20104 St. Rt. 3, Watertown, NY 13601 2009-10-13
1639331986 Kaitlin Smith Social Worker 63 Carey Ave, Apt 5, Watertown, MA 02472-3071 2008-06-27
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Competitor

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City WATERTOWN
Zip Code 13601

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Dataset Information

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.

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