MRS. JENNY ROSE EVANS (LCSW) – Mental Health Counselor, NPI 1568516664

MRS. JENNY ROSE EVANS (LCSW) is a healthcare provider. based in Athens, Georgia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 1669 (GA). The NPI Number for MRS. JENNY ROSE EVANS (LCSW) is 1568516664

Main info

Female
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNY ROSE EVANS (LCSW)
NPI
1568516664
Phone
(706) 227-6002
Address
1999 PRINCE AVE
Enumeration Date
23 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
6103853528
Professional Enrollment ID
I20050718000665
Address ID
GA306776703WA1490XCIRC400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,046 CLINICAL SOCIAL WORKER in GA

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Provider Addresses for MRS. JENNY ROSE EVANS (LCSW)

  • 1999, Prince Avenue, Normaltown, Athens, Athens-Clarke County, Georgia, 30606, United States

    ATHENS, GA 306066013

    Phone: (706) 227-6002

    Fax: (706) 310-1754

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050718000665IClinical Social WorkerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30606)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. JENNY ROSE EVANS (LCSW)?
MRS. JENNY ROSE EVANS (LCSW) — NPI 1568516664 — is the standard way to identify this listing.
Does CMS list MRS. JENNY ROSE EVANS (LCSW) as active?
Yes — MRS. JENNY ROSE EVANS (LCSW) is active in the NPI listing used on this page.
What healthcare role does MRS. JENNY ROSE EVANS (LCSW) hold?
Scheduling teams often label MRS. JENNY ROSE EVANS (LCSW) under Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is MRS. JENNY ROSE EVANS (LCSW) based?
MRS. JENNY ROSE EVANS (LCSW) is tied to Athens, Georgia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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