Mandi E. Evanson, LCSW

Clinical Social Worker · Oak Lawn, IL

Individual Active NPI

NPI number 1811040652

Practice location

4700 W 95TH St
Suite 104
Oak Lawn, IL 60453-2533
Phone
(708) 202-9922

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NPI record

NPI
1811040652
Entity type
Individual (Type 1)
Enumeration date
January 18, 2007
Last updated
December 8, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149013320 IL
Social Worker 104100000X 150.010889 IL

Mailing address

305 N Oak Park Ave
1b
Oak Park, IL 60302-2157
Phone
(248) 420-3235

About Mandi Evanson

Mandi E. Evanson, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 4700 W 95TH St, Suite 104, Oak Lawn, IL 60453-2533. The NPI number 1811040652 was assigned on January 18, 2007 and the record was last updated on December 8, 2008.

Mandi Evanson lists 2 licenses in the registry: #149013320 (IL) for Clinical Social Worker; #150.010889 (IL) for Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mandi E. Evanson, LCSW?

The NPI number is 1811040652.

What is the phone number of Mandi Evanson?

The phone number listed for the practice location is (708) 202-9922.

Where is Mandi Evanson located?

4700 W 95TH St, Suite 104, Oak Lawn, IL 60453-2533.

What is the taxonomy code for Mandi Evanson?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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