Provider Demographics
NPI:1073871638
Name:JAMES, EVELYN JANICE (MSW)
Entity Type:Individual
Prefix:
First Name:EVELYN
Middle Name:JANICE
Last Name:JAMES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 SE LAKE WEIR AVE
Mailing Address - Street 2:APT#110
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-6766
Mailing Address - Country:US
Mailing Address - Phone:347-728-8508
Mailing Address - Fax:
Practice Address - Street 1:3001 SE LAKE WEIR AVE
Practice Address - Street 2:APT#110
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-6766
Practice Address - Country:US
Practice Address - Phone:347-728-8508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker