Organization Active NPI

Path to Healing

  • Clinical Social Worker
  • Encino, CA
National Provider Identifier
1033878111
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PATH TO HEALING
Practice address
5250 Lindley Ave
Encino, CA 91316-3518
Phone
(718) 938-0949
Fax
(818) 960-0038
NPI assigned
Dec 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Fiana Koshevatsky, LCSWNPI 1417181918
Title
Owner
Phone
(718) 938-0949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5250 Lindley Ave
Encino, CA 91316-3518

Mailing address

5250 Lindley Ave
Encino, CA 91316-3518
Phone (718) 938-0949

Other identifiers 1

IdentifierTypeStateIssuer
2412MedicaidCA

Other names 1

  • Path To Healing Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1033878111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 LINDLEY AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163518",
            "telephone_number": "718-938-0949",
            "fax_number": "818-960-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 LINDLEY AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163518",
            "telephone_number": "718-938-0949",
            "fax_number": "818-960-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH TO HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "KOSHEVATSKY",
        "authorized_official_first_name": "FIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-938-0949",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2412",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Path To Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.