Provider Demographics
NPI:1861890907
Name:EVANS, CHRISTINA DARNELLA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:DARNELLA
Last Name:EVANS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:EVANS
Other - Last Name:SUNKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2613 CAMELLIA DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2075
Mailing Address - Country:US
Mailing Address - Phone:919-641-9009
Mailing Address - Fax:
Practice Address - Street 1:2101 ANGIER AVE STE 172
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-4288
Practice Address - Country:US
Practice Address - Phone:919-937-2831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-05
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0109231041C0700X
SC11047104100000X
NCP0093511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker