Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Clinical Services LLC

Organization Clinical Social Worker · NPI 1073338067

Evergreen Clinical Services LLC provides Clinical Social Worker services in New York, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

444 Manhattan Ave Apt 6K
New York, NY 10026-1068
Phone: (917) 868-6745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1073338067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Boris Ingberg — Owner · (917) 868-6745
NPI enumeratedNovember 15, 2024
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024
Mailing address444 Manhattan Ave Apt 6k, New York, NY 10026-1068

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