Individual
JENNIFER L EVANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
1143 WARWICK WAY, RACINE, WI 53406-5661
(262) 977-9290
Mailing address
800 GOOLD ST, RACINE, WI 53402-4567
(262) 638-2000
(262) 638-2006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17601-130
WI
1041C0700X
Clinical Social Worker
Primary
8650-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
391442732
—
WI
Enumeration date
12/22/2006
Last updated
02/11/2026
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