Organization Active NPI

Evolving LLC

  • Clinical Social Worker
  • Cheshire, CT
National Provider Identifier
1821814724
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Carla Martin, LCSWNPI 1669685145
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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.

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.