Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EVERGREEN WELLNESS LLC
NPI 1497660211
Social Worker in State College, PA

Q: What is Evergreen Wellness LLC's NPI number?

The NPI number for Evergreen Wellness LLC is 1497660211. It was assigned to this organization in the NPPES registry on August 17, 2026.

Q: What is Evergreen Wellness LLC's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since August 17, 2026

2583 GATEWAY DR STE 140, STATE COLLEGE, PA 16801(814) 303-2005 Get Directions Write a Review

NPPES record added: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Evergreen Wellness Llc NPPES

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

EVERGREEN WELLNESS LLC (NPI 1497660211) is a healthcare organization registered as a social worker in State College, Pennsylvania and active in the NPI registry since August 2026. The organization lists Jade Moore Stephens, Owner, as its authorized official.

NPPES Registry Identity

NPI1497660211

Entity TypeOrganization

Primary Taxonomy104100000X

Legal Business NameEVERGREEN WELLNESS LLC

Location Address2583 GATEWAY DR STE 140State College, PA 16801-3098

Mailing Address2583 Gateway Dr Ste 140State College, PA 16801-3098 · (814) 303-2005

Phone(814) 303-2005

Organization SubpartNo

Authorized OfficialJade Moore StephensOwner · (814) 303-2005

Enumeration DateAugust 17, 2026

NPPES CertifiedAugust 17, 2026

✔ NPI 1497660211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

2583 GATEWAY DR STE 140, State College, PA 16801

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Wellness LLC's NPI number?

The NPI number for Evergreen Wellness LLC is 1497660211. It was assigned to this organization in the NPPES registry on August 17, 2026.

Where is Evergreen Wellness LLC located?

Evergreen Wellness LLC is located at 2583 Gateway Dr Ste 140, State College, PA 16801. The listed phone number is (814) 303-2005.

What is Evergreen Wellness LLC's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Evergreen Wellness LLC was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.