J. KELLIE YOUNG EVANS LCSW,CSTOP
NPI 1033273560
Social Worker - Clinical in Portsmouth, VA

Q: What is J. Kellie Evans's NPI number?

The NPI number for J. Kellie Evans is 1033273560. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Q: What is J. Kellie Evans's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for J. Kellie Evans was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment

1805 AIRLINE BLVD, PORTSMOUTH, VA 23707(757) 397-2121(757) 399-3316 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About J. Kellie Young Evans Lcsw,cstop NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

J. KELLIE YOUNG EVANS LCSW,CSTOP (NPI 1033273560) is an individual clinical provider in Portsmouth, Virginia and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1033273560

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJ. KELLIE YOUNG EVANSCredential: LCSW,CSTOP

Location Address1805 AIRLINE BLVDPortsmouth, VA 23707-3912

Mailing Address1805 Airline BlvdPortsmouth, VA 23707-3912 · (757) 397-2121 · Fax (757) 399-3316

Phone(757) 397-2121

Fax(757) 399-3316

Sole ProprietorYes

Medical School CMSOtherGraduated 1992

Enumeration DateDecember 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1033273560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1805 AIRLINE BLVD, Portsmouth, VA 23707

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

J. Kellie Young Evans Lcsw,cstop is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840601480

PECOS Enrollment IDI20201202003102

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.19 – $170.30

Typical copayment $0.00 (range $14.04 – $42.57)

Most-billed visit code NA

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STUART RUARK LCSW

Social Worker (Clinical)