Mary Evans, LCSW - Clinical Social Worker in Kingsport, TN

Mary Evans, LCSW is a Social Worker - Clinical based in Kingsport, Tennessee. Mary Evans is licensed to practice in Tennessee (license number 7160) and her current practice location is 1025 Executive Park Blvd, Kingsport, Tennessee. She can be reached at her office (for appointments etc.) via phone at (423) 735-8124.

NPI number for Mary Evans is 1477103661 and her current mailing address is 613 Lyle Rd, Erwin, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477103661.

Contact Information

Mary Evans, LCSW
1025 Executive Park Blvd,
Kingsport, TN 37660-4620
(423) 735-8124
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMary Evans
GenderFemale
SpecialitySocial Worker - Clinical
Location1025 Executive Park Blvd, Kingsport, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1477103661
  • Provider Enumeration Date: 09/19/2019
  • Last Update Date: 06/04/2020

Medical Identifiers

Medical identifiers for Mary Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477103661NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 0904010726 (Virginia)Secondary
1041C0700XSocial Worker - Clinical 7160 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Evans is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Evans, LCSW
613 Lyle Rd,
Erwin, TN 37650-4117

Ph: (423) 388-5195
Mary Evans, LCSW
1025 Executive Park Blvd,
Kingsport, TN 37660-4620

Ph: (423) 735-8124

Reviews and Comments


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