Roger Evenson, LCSW-44535
NPI 1164091559ActiveIndividual· Social Worker, Clinical· Eagle, ID
Social Worker, Clinical (LCSW-44535) in Eagle, Idaho, licensed in ID, with an NPI issued in June 2021.
Overview
| NPI | 1164091559 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW-44535 |
| Sole proprietor | No |
| NPI issued | Jun 21, 2021 |
| Last updated in NPPES | Aug 13, 2026 |
| Certified by provider | Aug 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LCSW-44535 | ID |
| Counselor, Mental Health | 101YM0800X | LMSW-40940 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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