Active NPI
Evolving LLC
- Clinical Social Worker
- Cheshire, CT
National Provider Identifier
1821814724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- EVOLVING LLC
- Practice address
- 146 Elm St
Cheshire, CT 06410-2869 - Phone
- (203) 439-7545
- NPI assigned
- Nov 25, 2024
- Organization subpart
- Yes
- Parent organization
- EVOLVE BEHAVIORAL INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carla Martin, LCSW
- Title
- President
- Phone
- (203) 710-4265
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
146 Elm St
Cheshire, CT 06410-2869
Mailing address
141 Forge Dr
Avon, CT 06001-3246
Phone (203) 710-4265
National Provider Directory
National Provider Directory- Part of
- Evolve Behavioral Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Clinical Social Worker
- Cheshire, CT
- NPI 1639677149
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Cheshire, CT
- NPI 1669685145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732579200000",
"number": "1821814724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 FORGE DR",
"city": "AVON",
"state": "CT",
"postal_code": "060013246",
"telephone_number": "203-710-4265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 ELM ST",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064102869",
"telephone_number": "203-439-7545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVING LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EVOLVE BEHAVIORAL INC.",
"enumeration_date": "2024-11-25",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "CARLA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-710-4265",
"authorized_official_credential": "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 Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.