Active NPI
Sergei Berges Evans, MSW, MHC
- Clinical Social Worker
- Framingham, MA
National Provider Identifier
1417648668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1 Clarks HL
Framingham, MA 01702-8172 - Phone
- (914) 733-2820
- NPI assigned
- May 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Occupational Therapist | 225XM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1 Clarks HL
Framingham, MA 01702-8172
Mailing address
2 Electronics Ave.
Unit 40
Danvers, MA 01923
Phone (978) 350-5161
Other practice location 1
2 Electronics Avenue
Danvers, MA 01923
Phone (978) 350-5161
Other practice location 2
75 Lindall Street
Danvers, MA 01923
Phone (978) 223-9304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vendetti Wellness Group, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Framingham, MA
- NPI 1952836546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1417648668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 ELECTRONICS AVE.",
"address_2": "UNIT 40",
"city": "DANVERS",
"state": "MA",
"postal_code": "01923",
"telephone_number": "978-350-5161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CLARKS HL",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017028172",
"telephone_number": "914-733-2820"
}
],
"practiceLocations": [
{
"address_1": "2 Electronics Avenue",
"address_purpose": "LOCATION",
"city": "Danvers",
"state": "MA",
"postal_code": "01923",
"country_code": "US",
"telephone_number": "978-350-5161",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 Lindall Street",
"address_purpose": "LOCATION",
"city": "Danvers",
"state": "MA",
"postal_code": "01923",
"country_code": "US",
"telephone_number": "978-223-9304",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "SERGEI",
"middle_name": "BERGES",
"credential": "MSW, MHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-18",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.