Tim A Evans is a Clinical in Burnsville, North Carolina. Tim A Evans practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tim A Evans is 1083706329. The last update date is 2011-06-15.
Tim A Evans's current location address is 180 Chimney Rdg, Burnsville, North Carolina. You can contact this provider via phone number 8282089739. The mailing address for Tim A Evans is 180 Chimney Rdg, Burnsville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tim A Evans |
|---|---|
| Address | 180 Chimney Rdg, Burnsville, North Carolina |
| Phone Number | 8282089739 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1083706329 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2011-06-15 |
Provider Mailing Address Detail
| Address | 180 Chimney Rdg |
|---|---|
| City | Burnsville |
| State | North Carolina (NC) |
| Post Code | 287147475 |
| Phone Number | 8282089739 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C003954 |
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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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1352R | NC | NC HEALTH CHOICE | |
| 1352R | BCBS | ||
| 6003015 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tim A Evans by the Centers for Medicare & Medicaid Services?
The Tim A Evans has been issued the NPI (National Provider Identifier) 1083706329 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Tim A Evans's facilities are situated?
The facilities of Tim A Evans are physically located at the following address: 180 Chimney Rdg, Burnsville, NC, 287147475.
What is the Tim A Evans's area of specialization and corresponding taxonomy classification?
The Tim A Evans's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Tim A Evans receive the assignment of its 1083706329 from the Centers for Medicare & Medicaid Services?
The Tim A Evans was issued its 1083706329 by the Centers for Medicare & Medicaid Services on 2006-09-28.
When was the Tim A Evans's information last updated?
The Tim A Evans's information was last updated on 2011-06-15.