EVAN MICHAELS LCSW PC
NPI 1316695018
Social Worker - Clinical in Merrick, NY

Active since March 13, 2022
2116 MERRICK AVE STE 2001, MERRICK, NY 11566(917) 576-0720 Get Directions Write a Review

NPPES record last updated: March 13, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Evan Michaels Lcsw Pc NPPES

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

EVAN MICHAELS LCSW PC (NPI 1316695018) is a healthcare organization registered as a clinical in Merrick, New York and active in the NPI registry since March 2022. The organization lists Evan M Michaels, Owner, as its authorized official.

NPPES Registry Identity

NPI1316695018
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameEVAN MICHAELS LCSW PC
Location Address2116 MERRICK AVE STE 2001Merrick, NY 11566-3409
Mailing Address2116 Merrick Ave Ste 2001Merrick, NY 11566-3409 · (917) 576-0720
Organization SubpartNo
Authorized OfficialEvan M MichaelsOwner · (917) 576-0720
Enumeration DateMarch 13, 2022
NPPES CertifiedMarch 13, 2022
✔ NPI 1316695018 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.
2116 MERRICK AVE STE 2001, Merrick, NY 11566

Other Identifiers 1

Medicaid02454837NY

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Michaels Lcsw Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Evan Michaels Lcsw PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1417022658
31 MERRICK AVE SUITE 110
Merrick, NY 11566
(917) 576-0720
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Evan Michaels Lcsw PC's NPI number?

The NPI number for Evan Michaels Lcsw PC is 1316695018. It was assigned to this organization in the NPPES registry on March 13, 2022.

Where is Evan Michaels Lcsw PC located?

Evan Michaels Lcsw PC is located at 2116 Merrick Ave Ste 2001, Merrick, NY 11566. The listed phone number is (917) 576-0720.

What is Evan Michaels Lcsw PC's specialty?

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

Is Evan Michaels Lcsw PC enrolled in Medicare?

Yes. Evan Michaels Lcsw PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evan Michaels Lcsw PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Evan Michaels Lcsw PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Evan Michaels Lcsw PC was last updated on March 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.