Evergreen Psychotherapy, LLC
NPI 1437909439ActiveOrganization· Social Worker, Clinical· Great Barrington, MA
Social Worker, Clinical in Great Barrington, Massachusetts, registered in NPPES in March 2024. The authorized official on file is Keith Watkins, LICSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1437909439 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 25, 2024 |
| Last updated in NPPES | Mar 25, 2024 |
| Certified by provider | Mar 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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