Provider Demographics
NPI:1053755884
Name:KNEZ, EVELYN ARTEMIS (LCSWA)
Entity type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:ARTEMIS
Last Name:KNEZ
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6620 ROCKGLEN WAY APT 602
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-7567
Mailing Address - Country:US
Mailing Address - Phone:616-308-4344
Mailing Address - Fax:
Practice Address - Street 1:6620 ROCKGLEN WAY APT 602
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-7567
Practice Address - Country:US
Practice Address - Phone:616-308-4344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-23
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0077871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical