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Katherine Marie Evans

Social Worker

Behavioral Health & Social Service Providers

580 City Center Blvd Ste 5, Newport News, VA 23606-1880

PECOS Enrollment

This provider is enrolled in PECOS as KATHERINE EVANS.

Based on the most recent information from CMS, provider Katherine Marie Evans is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1518231802
Provider Type
Individual
Full Name
Evans, Katherine Marie
Credential
MSW, LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
3/4/2012
Last Updated
6/17/2025

Contact Information

Practice Location

580 City Center Blvd Ste 5, Newport News, VA 23606-1880

(804) 207-6737

Unlisted Fax

Mailing Location

580 City Center Blvd Ste 5, Newport News, VA 23606-1880

(804) 207-6737

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 0904018197 Virginia
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License C007673 North Carolina

Katherine Marie Evans

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

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