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

Individual provider Clinical Social Worker · NPI 1790835528

Mrs. Stephanie Evans, LLMSW is a Clinical Social Worker in Port Huron, Michigan. Qualified in 2005, 21 years ago. Practices with Shine Wellness Clinic PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2007
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Practice location Address checks out

2601 13th St
Port Huron, MI 48060-6546
Phone: (810) 987-9100
Fax: (810) 987-9105
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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 6801-085773 (MI)

Record details

NPI number1790835528
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedJanuary 12, 2007
Last updated in NPPESMay 19, 2009

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Shine Wellness Clinic Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Huron