Evergreen Wellness LLC
NPI 1497660211ActiveOrganization· Social Worker· State College, PA
Social Worker in State College, Pennsylvania, registered in NPPES in August 2026. The authorized official on file is Jade Moore Stephens, LSW, Owner.
Overview
| NPI | 1497660211 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 17, 2026 |
| Last updated in NPPES | Aug 17, 2026 |
| Certified by provider | Aug 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other social workers in State College
- 1679839765
- 1962650960
- 1336726876
- 1811307747
- 1952024713
- 1871312777
- 1184163404
- 1407357106
- 1316635113
- 1811532146
- 1427697937
- 1023648326
All 34 social workers in State College · All social workers in Pennsylvania