Healthcare Provider Details

I. General information

NPI: 1649956798
Provider Name (Legal Business Name): ROWENA EVANS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2023
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 FOWLER GROVE BLVD STE 220
WINTER GARDEN FL
34787-5597
US

IV. Provider business mailing address

8948 FRODSHAM WAY
WINTER GARDEN FL
34787-4780
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-8877
  • Fax: 407-303-8811
Mailing address:
  • Phone: 408-646-9992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW26555
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: