STEPHANIE EVANS LCSW
NPI 1477088631
Social Worker - Clinical in Moody Afb, GA

Active since April 25, 2017
3280 MITCHELL BLVD, MOODY AFB, GA 31699(229) 257-2778 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 13, 2024, Dec 9, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Stephanie Evans Lcsw NPPES

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

STEPHANIE EVANS LCSW (NPI 1477088631) is an individual clinical provider in Moody Afb, Georgia, licensed in Florida (SW16883) and active in the NPI registry since April 2017. She maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1477088631
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTEPHANIE EVANSCredential: LCSW
Location Address3280 MITCHELL BLVDMoody Afb, GA 31699-1580
Mailing Address4937 Us Highway 98 N # 9101Lakeland, FL 33809-3610 · (813) 527-8976
Sole ProprietorNo
Enumeration DateApril 25, 2017
Last NPPES UpdateJune 13, 20245 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
NPI 1477088631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in FL · SW16883
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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychoanalystTaxonomy 102L00000X · License SW16883 (FL)
Also ListedSocial WorkerTaxonomy 104100000X · License SW16883 (FL)
3280 MITCHELL BLVD, Moody Afb, GA 31699

Secondary Practice Location 1

Location 18910 N Dale Mabry Hwy Ste 2Tampa, FL 33614-1580 · Phone (813) 527-8976

Other Identifiers 1

Medicaid112077100FL

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Military Health Care Provider (Independent Duty Medical Technicians)
3280 MITCHELL BLVD
MOODY A F B, GA 31699
Military Health Care Provider (Independent Duty Medical Technicians)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Specialist/Technologist (Athletic Trainer)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Social Worker (Clinical)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Social Worker (Clinical)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Specialist/Technologist (Athletic Trainer)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Dentist (General Practice)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Dentist (General Practice)
3280 MITCHELL BLVD
MOODY AFB, GA 31699

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477088631, enumerated as an "individual" on April 25, 2017.

The provider is located at 3280 MITCHELL BLVD MOODY AFB, GA 31699 and the phone number is (229) 257-2778.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.