Evergreen Wellness Group

Organization Active NPI Clinical Social Worker · Radcliff, KY

NPI 1376498188 · NPPES record last updated Feb 27, 2026

Key facts

NPI
1376498188
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
EVERGREEN WELLNESS GROUP
Practice address
1488 Spruce CT
Radcliff, KY 40160-2839
Phone
(270) 724-9731
NPI assigned
Feb 27, 2026
Organization subpart
No

Authorized official

Name
Brianna Wilson, LCSW
Title
Mental Health Therapist
Phone
(270) 724-9731

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

1488 Spruce CT
Radcliff, KY 40160-2839

Mailing address

PO Box 341
Radcliff, KY 40159-0341

Other providers in Radcliff, KY

All providers in Radcliff, KY · Clinical Social Worker in Kentucky

Sources for this page

Verify at the official NPI Registry.