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EVERGREEN CLINICAL SERVICES LLC
NPI 1073338067
Social Worker - Clinical in New York, NY

Active since November 15, 2024
444 MANHATTAN AVE APT 6K, NEW YORK, NY 10026(917) 868-6745 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2024, Nov 15, 2024 (2 updates tracked since 2024).

About Evergreen Clinical Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN CLINICAL SERVICES LLC (NPI 1073338067) is a healthcare organization registered as a clinical in New York, New York and active in the NPI registry since November 2024. The organization lists Boris Ingberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1073338067
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameEVERGREEN CLINICAL SERVICES LLC
Location Address444 MANHATTAN AVE APT 6KNew York, NY 10026-1068
Mailing Address444 Manhattan Ave Apt 6kNew York, NY 10026-1068 · (917) 868-6745
Phone(917) 868-6745
Organization SubpartNo
Authorized OfficialBoris IngbergOwner · (917) 868-6745
Enumeration DateNovember 15, 2024
Last NPPES UpdateDecember 2, 20242 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
✔ NPI 1073338067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
444 MANHATTAN AVE APT 6K, New York, NY 10026
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Clinical Services LLC's NPI number?

The NPI number for Evergreen Clinical Services LLC is 1073338067. It was assigned to this organization in the NPPES registry on November 15, 2024.

Where is Evergreen Clinical Services LLC located?

Evergreen Clinical Services LLC is located at 444 Manhattan Ave Apt 6K, New York, NY 10026. The listed phone number is (917) 868-6745.

What is Evergreen Clinical Services LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Evergreen Clinical Services LLC was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.