Organization Active NPI

Evolution Wellness, LLC

  • Clinical Social Worker
  • Key West, FL
National Provider Identifier
1497201560
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EVOLUTION WELLNESS, LLC
Practice address
149 Golf Club Dr
Key West, FL 33040-4381
Phone
(704) 488-8446
NPI assigned
Aug 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Sarah Miranda Cox, LCSW
Title
Member
Phone
(704) 488-8446

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X SW11903 FL

Addresses

Primary practice location

149 Golf Club Dr
Key West, FL 33040-4381

Mailing address

149 Golf Club Dr
Key West, FL 33040-4381
Phone (704) 488-8446

Other names 1

  • Sarah Cox, LCSW Doing business as

National Provider Directory

National Provider Directory

Locations

2409 N Roosevelt Blvd
Ste 8
Key West, FL 33040
Phone (305) 360-7538

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1497201560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 GOLF CLUB DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404381",
            "telephone_number": "704-488-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 GOLF CLUB DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404381",
            "telephone_number": "704-488-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "MIRANDA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "704-488-8446",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW11903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sarah Cox, LCSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sarah Cox, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.