Active NPI
Evan Keith Margetson, LICSW
- Addiction (Substance Use Disorder) Counselor
- Beverly, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 110508
- Practice address
- 100 Cummings Center Suite 217C
The Beverly Center, PC
Beverly, MA 01915 - Phone
- (978) 922-6613
- NPI assigned
- Oct 26, 2006
- Last updated
- Sep 11, 2025
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 110508 | MA | Primary |
| Clinical Social Worker | 1041C0700X | 110508 | MA |
Addresses
Primary practice location
100 Cummings Center Suite 217C
The Beverly Center, PC
Beverly, MA 01915
Mailing address
28 Wardwell Ave
Lynn, MA 01902-1924
Phone (781) 599-5571
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1890891 | Medicaid | MA | |
| 110508 | Other | MA | TUFTS |
| P08000 | Other | MA | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1 Market St
204B
Lynn, MA 01901-1011
Phone (978) 473-9967
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SB Transitional Sub, LLC | Current | Accepting new patients | |
| The Beverly Center, P.C. | Past | Accepting new patients | |
| Children's Friend and Family Services | Past | Accepting new patients |
Locations
103 Commercial St
Ste 2
Brockton, MA 02302
1115 W Chestnut St
Brockton, MA 02301
Phone (508) 559-0473
1115 W Chestnut St
Ste 202
Brockton, MA 02301
Phone (508) 824-1355
70 Everett Ave
Ste 515
Chelsea, MA 02150
Phone (617) 466-6650
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brockton, MA
- NPI 1962091173
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Salem, MA
- NPI 1295775799
-
- Clinical Child & Adolescent Psychologist
- Beverly, MA
- NPI 1275509663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1457436404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 WARDWELL AVE",
"city": "LYNN",
"state": "MA",
"postal_code": "019021924",
"telephone_number": "781-599-5571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CUMMINGS CENTER SUITE 217C",
"address_2": "THE BEVERLY CENTER, PC",
"city": "BEVERLY",
"state": "MA",
"postal_code": "01915",
"telephone_number": "978-922-6613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARGETSON",
"first_name": "EVAN",
"middle_name": "KEITH",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "110508",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "110508",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1890891",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "110508",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "P08000",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.