Evolve Therapy and Wellness
NPI 1417739418ActiveOrganization· Social Worker, Clinical· Somerset, KY
Social Worker, Clinical in Somerset, Kentucky, registered in NPPES in October 2023. The authorized official on file is Deanna Phillips, LCSW, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417739418 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2023 |
| Last updated in NPPES | May 27, 2026 |
| Certified by provider | May 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
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