Brandon Evans, ACSW
Social Worker, Clinical in Long Beach, CA. Individual provider (NPI-1).
NPI number1780977280
StatusActive
Last updated in NPPESFeb 6, 2014
Details
- NPI
- 1780977280
- Entity type
- Individual (NPI-1)
- Name
- Brandon Evans
- Credential
- ACSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 17, 2011
- Last updated
- Feb 6, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 60740 | CA | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
456 Elm AveLong Beach, CA 90802-2426
Phone 562-437-6717
Mailing address
2025 E 7th StLong Beach, CA 90804-4590
Phone 562-284-0108
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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