Keyanisha Enay Evans, is a
Social Worker - Clinical based in Los Angeles, California. Keyanisha Enay Evans is licensed to practice in California (license number 125395ASW) and her current practice location is
8019 Compton Ave, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 586-7333.
NPI number for Keyanisha Enay Evans is 1972090785 and her current mailing address is 8019 Compton Ave, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972090785.
Healthcare Provider's Profile
| Full Name | Keyanisha Enay Evans |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 8019 Compton Ave, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972090785
- Provider Enumeration Date: 04/17/2018
- Last Update Date: 10/03/2024
Medical Identifiers
Medical identifiers for Keyanisha Enay Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972090785 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 84078ACSW (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 125395ASW (California) | 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. Keyanisha Enay 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 Address | Practice Location Address |
|---|
Keyanisha Enay Evans,
8019 Compton Ave,
Los Angeles, CA 90001-3409
Ph: (323) 586-7333 | Keyanisha Enay Evans,
8019 Compton Ave,
Los Angeles, CA 90001-3409
Ph: (323) 586-7333 |
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