Evolve Behavioral Inc.
NPI 1639677149ActiveOrganization· Social Worker, Clinical· Cheshire, CT
Social Worker, Clinical in Cheshire, Connecticut, registered in NPPES in January 2018. The authorized official on file is Carla Martin, LCSW, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639677149 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2018 |
| Last updated in NPPES | Nov 26, 2024 |
| Certified by provider | Nov 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 0056 | CT |
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 (CT) |
|---|
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