Individual provider Active NPI

Evan Keith Margetson, LICSW

  • Addiction (Substance Use Disorder) Counselor
  • Beverly, MA
National Provider Identifier
1457436404
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
110508 Issued in MA
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1890891MedicaidMA
110508OtherMATUFTS
P08000OtherMABLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080102000041 MA Practitioner - Clinical Social Worker 6608956784 Reassigns benefits to 1 organization
Practice locations: Lynn, MA

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

OrganizationSpecialtyStatusNew patients
SB Transitional Sub, LLC CurrentSince May 17, 2021 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.

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

Verify at the official NPI Registry.