ALCHEMICAL COUNSELING SERVICES LICENSED CLINICAL SOCIAL WORKER, INC
NPI 1619768736
Social Worker - Clinical in Santa Rosa, CA

Q: What is Alchemical Counseling Services Licensed Clinical Social Worker, Inc's specialty?

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

Active since May 16, 2025

100 E ST STE 320, SANTA ROSA, CA 95404(707) 800-5788 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Alchemical Counseling Services Licensed Clinical Social Worker, Inc NPPES

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

ALCHEMICAL COUNSELING SERVICES LICENSED CLINICAL SOCIAL WORKER, INC (NPI 1619768736) is a healthcare organization registered as a clinical in Santa Rosa, California and active in the NPI registry since May 2025. The organization lists Eileen Evind, Ceo, Cfo, Secretary, as its authorized official.

NPPES Registry Identity

NPI1619768736

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameALCHEMICAL COUNSELING SERVICES LICENSED CLINICAL SOCIAL WORKER, INC

Location Address100 E ST STE 320Santa Rosa, CA 95404-4607

Mailing Address100 E St Ste 320Santa Rosa, CA 95404-4607 · (707) 800-5788

Phone(707) 800-5788

Organization SubpartNo

Authorized OfficialEileen EvindCeo, Cfo, Secretary · (707) 800-5788

Enumeration DateMay 16, 2025

NPPES CertifiedMay 16, 2025

✔ NPI 1619768736 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.

100 E ST STE 320, Santa Rosa, CA 95404

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alchemical Counseling Services Licensed Clinical Social Worker, Inc 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 Alchemical Counseling Services Licensed Clinical Social Worker, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Eileen Evind, ASW

Clinical Social Worker

NPI 1770867731

100 E ST STE 320
Santa Rosa, CA 95404

(707) 800-5788

✔ PECOS✔ Accepts MedicareSame address

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 Alchemical Counseling Services Licensed Clinical Social Worker, Inc's NPI number?

The NPI number for Alchemical Counseling Services Licensed Clinical Social Worker, Inc is 1619768736. It was assigned to this organization in the NPPES registry on May 16, 2025.

Where is Alchemical Counseling Services Licensed Clinical Social Worker, Inc located?

Alchemical Counseling Services Licensed Clinical Social Worker, Inc is located at 100 E St Ste 320, Santa Rosa, CA 95404. The listed phone number is (707) 800-5788.

What is Alchemical Counseling Services Licensed Clinical Social Worker, Inc's specialty?

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

Is Alchemical Counseling Services Licensed Clinical Social Worker, Inc enrolled in Medicare?

Yes. Alchemical Counseling Services Licensed Clinical Social Worker, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alchemical Counseling Services Licensed Clinical Social Worker, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Alchemical Counseling Services Licensed Clinical Social Worker, Inc. 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 Alchemical Counseling Services Licensed Clinical Social Worker, Inc was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.