Organization Active NPI

Evergrace LLC

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1790680015
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EVERGRACE LLC
Practice address
18310 Montgomery Village Ave Ste 300-1306
Gaithersburg, MD 20879-3551
Phone
(301) 302-0909
NPI assigned
Oct 8, 2026
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Rebekah Machiela, LCSW-C
Title
Owner
Phone
(301) 302-0909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

18310 Montgomery Village Ave Ste 300-1306
Gaithersburg, MD 20879-3551

Mailing address

18310 Montgomery Village Ave Ste 300-1306
Gaithersburg, MD 20879-3551

NPI Registry JSON

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1790680015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18310 MONTGOMERY VILLAGE AVE STE 300-1306",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18310 MONTGOMERY VILLAGE AVE STE 300-1306",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793551",
            "telephone_number": "301-302-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "MACHIELA",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-302-0909",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.