Healthcare Provider Details

I. General information

NPI: 1821091927
Provider Name (Legal Business Name): NANCY EVANS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5441 MAIN ST RM 205
STEPHENS CITY VA
22655-2800
US

IV. Provider business mailing address

PO BOX 1533
STEPHENS CITY VA
22655
US

V. Phone/Fax

Practice location:
  • Phone: 540-869-2008
  • Fax: 540-869-2008
Mailing address:
  • Phone: 540-869-2008
  • Fax: 540-869-2008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0812000044
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904004018
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: