EVAN KEITH MARGETSON LICSW NPI 1457436404

NPI Information

NPI: 1457436404
Provider Name: EVAN KEITH MARGETSON, LICSW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
100 CUMMINGS CENTER SUITE 217C
THE BEVERLY CENTER, PC
BEVERLY, MA
ZIP 01915
Phone: (978) 922-6613
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Evan Keith Margetson, LICSW is an addiction (substance use disorder) counselor in Beverly, MA with 27 years of experience. Evan Keith Margetson, LICSW NPI is 1457436404. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 CUMMINGS CENTER SUITE 217C
THE BEVERLY CENTER, PC
BEVERLY, MA
ZIP 01915
Phone: (978) 922-6613

The NPI 1457436404 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	110508	MASSACHUSETTS	Yes
2	1041C0700X	Social Worker	Clinical	110508	MASSACHUSETTS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P08000	OTHER	MASSACHUSETTS	BLUE CROSS/BLUE SHIELD
2	P22505	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
3	1890891	MEDICAID	MASSACHUSETTS
4	110508	OTHER	MASSACHUSETTS	TUFTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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