MARYELLEN EVERS LCSW
NPI 1073849568
Social Worker - Clinical in Dunmore, PA
About Maryellen Evers Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYELLEN EVERS LCSW (NPI 1073849568) is an individual clinical provider in Dunmore, Pennsylvania, licensed in Pennsylvania (CW017563) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Maryellen Evers Lcsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Maryellen Evers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Durham, NC 27701
- Reassigned Medicare billing, Pennsylvania enrollment
- 111 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18512 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Maryellen Evers's NPI number?
The NPI number for Maryellen Evers is 1073849568. It was assigned to this individual provider in the NPPES registry on October 19, 2009.
Where is Maryellen Evers located?
Maryellen Evers practices at 220 Franklin St, Dunmore, PA 18512. The listed phone number is (727) 688-4112.
What is Maryellen Evers's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Maryellen Evers enrolled in Medicare?
Yes. Maryellen Evers is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Maryellen Evers's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maryellen Evers reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maryellen Evers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Maryellen Evers was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Maryellen Evers, LCSW · NPI 1073849568
Clinical provider in Dunmore, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 19, 2009.
## Identity
- **NPI:** 1073849568 (Entity type: Individual)
- **Enumerated:** October 19, 2009
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** CW017563 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 220 FRANKLIN ST, Dunmore, PA 18512-2364
- **Phone:** (727) 688-4112
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mental Health Specialty Group PA (NPI 1801472634, Durham, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** November 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073849568) · Data from the CMS NPPES public registry.