Provider Demographics
NPI:1922399955
Name:MEJIAS, EVELYN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:
Last Name:MEJIAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18101-1511
Mailing Address - Country:US
Mailing Address - Phone:148-462-6140
Mailing Address - Fax:
Practice Address - Street 1:527 HAMILTON ST STE 201
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101-1511
Practice Address - Country:US
Practice Address - Phone:484-284-0342
Practice Address - Fax:484-214-9884
Is Sole Proprietor?:No
Enumeration Date:2011-04-25
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW128111104100000X
PACW0209671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker