Evolving Hearts Therapy Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EVOLVING HEARTS THERAPY INC

Practice address

215 N Meridian St Ste 201
Newberg, OR 97132-2756

Phone

(503) 383-1171

NPI assigned

Oct 1, 2024

Organization subpart

No

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

Authorized official

Name

Anna M Carvajal, CSWANPI 1053993907

Title

Ceo

Phone

(503) 799-8210

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Anna Marie Carvajal, MSW

  • Social Worker
  • McMinnville, OR
  • NPI 1053993907
  NPD Authorized official

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1831917434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N MERIDIAN ST STE 201",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322756",
            "telephone_number": "503-383-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N MERIDIAN ST STE 201",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322756",
            "telephone_number": "503-383-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVING HEARTS THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "CARVAJAL",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-799-8210",
        "authorized_official_credential": "CSWA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Newberg, OR
• Providers in Newberg, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.