Evergreen Therapeutic Collective Llc
Clinical Social Worker · New York, NY
At a glance
452 Fort Washington Ave, New York, NY 10033-4600
NPPES record updated Jan 20, 2025. Public records can lag behind changes at a practice.
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Practice location
452 Fort Washington AveNew York, NY 10033-4600
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Clinical Social Worker
- Taxonomy code
- 1041C0700X
- Enumeration date
- Jan 20, 2025
- Record updated
- Jan 20, 2025
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Clinical Social Worker
1041C0700X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
452 Fort Washington AveNew York, NY 10033-4600
- Phone
- (646) 573-9878
Mailing address
452 FORT WASHINGTON AVENEW YORK, NY 100334600
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