Organization Active NPI

Evolving Wellness Group

  • Clinical Social Worker
  • Long Branch, NJ
National Provider Identifier
1699472852
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Mrs. Beth Lerner, M.ED, LCSWNPI 1245813351
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.