Active NPI
Evolving Wellness Group
- Clinical Social Worker
- Long Branch, NJ
National Provider Identifier
1699472852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- EVOLVING WELLNESS GROUP
- Practice address
- 563 Patten Ave
Long Branch, NJ 07740-7823 - Phone
- (732) 977-4987
- NPI assigned
- Feb 8, 2023
- Last updated
- Feb 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Beth Lerner, M.ED, LCSW
- Title
- Co-Owner
- Phone
- (732) 977-4987
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
563 Patten Ave
Long Branch, NJ 07740-7823
Mailing address
563 Patten Ave
Long Branch, NJ 07740-7823
Phone (732) 977-4987
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Marshfield, MA
- NPI 1245813351
-
- Clinical Social Worker
- Long Branch, NJ
- NPI 1699506972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675814400000",
"number": "1699472852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "563 PATTEN AVE",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077407823",
"telephone_number": "732-977-4987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "563 PATTEN AVE",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077407823",
"telephone_number": "732-977-4987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVING WELLNESS GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-08",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A",
"authorized_official_last_name": "LERNER",
"authorized_official_first_name": "BETH",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "732-977-4987",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.ED, LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Branch, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.