EVERGREEN MEADOW SERVICES INC
NPI 1760240493
Social Worker - Clinical in Ferndale, NY

Active since March 07, 2024
111 SULLIVAN AVE STE 2-5, FERNDALE, NY 12734(833) 346-4968 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Meadow Services Inc NPPES

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

EVERGREEN MEADOW SERVICES INC (NPI 1760240493) is a healthcare organization registered as a clinical in Ferndale, New York and active in the NPI registry since March 2024. The organization lists Adrienne Jensen, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1760240493
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameEVERGREEN MEADOW SERVICES INC
Location Address111 SULLIVAN AVE STE 2-5Ferndale, NY 12734-4317
Mailing AddressPo Box 64Cochecton, NY 12726-0064 · (833) 346-4968
Organization SubpartNo
Authorized OfficialAdrienne JensenExecutive Director · (833) 346-4968
Enumeration DateMarch 7, 2024
NPPES CertifiedMarch 7, 2024
NPI 1760240493 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.
111 SULLIVAN AVE STE 2-5, Ferndale, NY 12734

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
111 SULLIVAN AVE STE 2-5
FERNDALE, NY 12734

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 Meadow Services Inc's NPI number?

The NPI number for Evergreen Meadow Services Inc is 1760240493. It was assigned to this organization in the NPPES registry on March 7, 2024.

Where is Evergreen Meadow Services Inc located?

Evergreen Meadow Services Inc is located at 111 Sullivan Ave Ste 2-5, Ferndale, NY 12734. The listed phone number is (833) 346-4968.

What is Evergreen Meadow Services Inc'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 Meadow Services Inc was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.