Nicholas Evans, LSW is a
Social Worker based in Pocatello, Idaho. Nicholas Evans is licensed to practice in Idaho (license number LSW-42210) and his current practice location is
1001 N 7th Ave Ste 260, Pocatello, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 515-1668.
NPI number for Nicholas Evans is 1922799048 and his current mailing address is 1001 N 7th Ave Ste 260, Pocatello, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922799048.
Healthcare Provider's Profile
| Full Name | Nicholas Evans |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 1001 N 7th Ave Ste 260, Pocatello, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922799048
- Provider Enumeration Date: 05/18/2023
- Last Update Date: 05/18/2023
Medical Identifiers
Medical identifiers for Nicholas Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922799048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | LSW-42210 (Idaho) | Secondary |
| 104100000X | Social Worker | LSW-42210 (Idaho) | 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. Nicholas 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 |
|---|
Nicholas Evans, LSW
1001 N 7th Ave Ste 260,
Pocatello, ID 83201-5788
Ph: (208) 515-1668 | Nicholas Evans, LSW
1001 N 7th Ave Ste 260,
Pocatello, ID 83201-5788
Ph: (208) 515-1668 |
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