Individual
CHERI JEANNETTE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1208 EASTCHESTER DR STE 200, HIGH POINT, NC 27265-3165
(336) 802-2205
(336) 802-2206
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-1331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C001711
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1197E
BLUECROSS/BLUESHEILD
NC
05
—
60-02077
—
NC
05
—
6106202
—
NC
01
—
7931153
AETNA
NC
Enumeration date
06/07/2006
Last updated
06/19/2023
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