Evolve Therapeutic Solutions LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EVOLVE THERAPEUTIC SOLUTIONS LLC

Practice address

1531 NW 173Rd Ter
Miami Gardens, FL 33169-5122

Phone

(786) 487-8331

Fax

(786) 487-8331

NPI assigned

May 16, 2024

Organization subpart

No

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

Authorized official

Name

Danielle GreeneNPI 1003548785

Title

President

Phone

(786) 487-8331

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danielle Nanette Greene, LCSW

  • Clinical Social Worker
  • Miami Lakes, FL
  • NPI 1003548785
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1699524249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 NW 173RD TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695122",
            "telephone_number": "786-487-8331",
            "fax_number": "786-487-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 NW 173RD TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695122",
            "telephone_number": "786-487-8331",
            "fax_number": "786-487-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE THERAPEUTIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-487-8331"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sterline Emmanuelle Etienne Moise, APRN
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• Clinical Social Worker in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.