Provider Demographics
NPI:1235586330
Name:DECKER, EVIE K (LCSW)
Entity type:Individual
Prefix:
First Name:EVIE
Middle Name:K
Last Name:DECKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:EVAN
Other - Middle Name:K
Other - Last Name:DECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2739 E LAS VEGAS ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-1594
Mailing Address - Country:US
Mailing Address - Phone:720-469-3528
Mailing Address - Fax:
Practice Address - Street 1:2739 E LAS VEGAS ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-1594
Practice Address - Country:US
Practice Address - Phone:720-390-2357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-18
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099281931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical