Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Rose Evans

Individual provider Clinical Social Worker · NPI 1356972327

Kimberly Rose Evans is a Clinical Social Worker in Fayetteville, North Carolina. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2020
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Practice location Address checks out

116 N Cool Spring St
Fayetteville, NC 28301-5134
Phone: (910) 500-6606
Fax: (910) 208-4081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C020205 (NC)

Record details

NPI number1356972327
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 29, 2020
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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