| Genevra B Evans, LCSW | |
| 
					828 Lane Allen Rd Ste 219, Lexington, KY 40504-3659  | |
| (260) 483-9081 | |
| Not Available | 
| Full Name | Genevra B Evans | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 828 Lane Allen Rd Ste 219, Lexington, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1639237860 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC6737 (Maine) | Secondary | 
| 1041C0700X | Social Worker - Clinical | 258271 (Kentucky) | Primary | 
| Entity Name | Extended Care Specialists, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20190703001141  | 
| Entity Name | Eventus Wholehealth Midwest Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1386252757 PECOS PAC ID: 4183040470 Enrollment ID: O20211217001894  | 
| Entity Name | Eventus Ecs, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073353496 PECOS PAC ID: 2163969650 Enrollment ID: O20240910001036  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Genevra B Evans, LCSW 152 Couillard Rd, Palermo, ME 04354-7666 Ph: (207) 993-2741  | Genevra B Evans, LCSW 828 Lane Allen Rd Ste 219, Lexington, KY 40504-3659 Ph: (260) 483-9081  | 
Mr. Adam Lynn Spencer,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Veterans Dr, Lexington, KY 40502 Phone: 859-233-4511 Fax: 859-281-4810  | |
Kenneth Edward Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2250 Leestown Rd, Lexington, KY 40511 Phone: 859-233-4511 Fax: 859-281-3823  | |
Mr. James C. Moore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Veterans Dr, 29-1-ld, Lexington, KY 40502 Phone: 859-281-3949 Fax: 859-281-3952  | |
Demetruis Renee Watson,  Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1412 N Broadway Ste 204, Lexington, KY 40505 Phone: 859-412-1445  | |
Leeann Hayslett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 478 Stonehaven Dr, Lexington, KY 40505 Phone: 859-576-9656  | |
Wendy Ann Klaine, LCSW, LCADCA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1374 Bull Lea Rd, Lexington, KY 40511 Phone: 859-977-2501  | |
Keeley Chaffin, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 635 Maxwelton Court, Lexington, KY 40508 Phone: 859-252-1939  |