Individual
MARY C EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
2902 SW ASBURY DR, TOPEKA, KS 66614-4466
(785) 270-4600
Mailing address
2601 SW 3RD ST UNIT 1A, TOPEKA, KS 66606-2438
(785) 270-4630
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
4353
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110661019
MEDICARE PTAN
KS
05
—
200725480B
—
KS
05
—
30004558070001
—
KS
Enumeration date
04/11/2011
Last updated
12/17/2025
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