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EVANN LAVENDER LCSWA
NPI 1629661244
Social Worker - Clinical in Cary, NC

Active since February 15, 2021Opted out of Medicare · through Jan 1, 2027
1145 EXECUTIVE CIR STE D, CARY, NC 27511(919) 307-5752 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2022, Feb 15, 2021 (2 updates tracked since 2021).

About Evann Lavender Lcswa NPPES

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

EVANN LAVENDER LCSWA (NPI 1629661244) is an individual clinical provider in Cary, North Carolina, licensed in North Carolina (P015616) and active in the NPI registry since February 2021. She has opted out of Medicare through January 1, 2027 and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1629661244
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEVANN LAVENDERCredential: LCSWA
Location Address1145 EXECUTIVE CIR STE DCary, NC 27511-4586
Mailing Address6001 Kohler LnRaleigh, NC 27616-5485 · (919) 801-4416
Phone(919) 307-5752
Sole ProprietorNo
Enumeration DateFebruary 15, 2021
Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
✔ NPI 1629661244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · P015616
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.
1145 EXECUTIVE CIR STE D, Cary, NC 27511
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Secondary Practice Locations 3

Location 1600 W Cabarrus StRaleigh, NC 27603-1953 · Phone (919) 833-3312
Location 21008 Bullard CtRaleigh, NC 27615-6833 · Phone (919) 801-4416
Location 36001 Kohler LnRaleigh, NC 27616-5485 · Phone (919) 801-4416

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Evann Lavender Lcswa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

STEPHANIE FU LCMHC
Counselor (Mental Health)
1145 EXECUTIVE CIR STE D
CARY, NC 27511
Wake County (919) 656-5709
MS. PATRICIA PACE LPC
Counselor (Mental Health)
1145 EXECUTIVE CIR STE D
CARY, NC 27511
Wake County (919) 249-5423
MR. CLIFTON SHAWN TAYLOR M.ED., LPCA
Counselor (Professional)
1145 EXECUTIVE CIR STE D
CARY, NC 27511
Wake County (919) 249-5423
MISS JULIA MARIE SMITH LCSW
Social Worker (Clinical)
1145 EXECUTIVE CIR STE D
CARY, NC 27511
Wake County (919) 514-4397

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 Evann Lavender's NPI number?

The NPI number for Evann Lavender is 1629661244. It was assigned to this individual provider in the NPPES registry on February 15, 2021.

Where is Evann Lavender located?

Evann Lavender practices at 1145 Executive Cir Ste D, Cary, NC 27511. The listed phone number is (919) 307-5752.

What is Evann Lavender's specialty?

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

Is Evann Lavender enrolled in Medicare?

No. Evann Lavender has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Evann Lavender was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.