Active NPI
Pathways Associates LLC
- Clinical Social Worker
- Bozrah, CT
National Provider Identifier
1053679928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005118
- Legal business name
- PATHWAYS ASSOCIATES LLC
- Practice address
- 410 Salem Tpke
Bozrah, CT 06334-1519 - Phone
- (860) 608-1584
- NPI assigned
- Apr 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Diane Holzworth
- Title
- Member
- Phone
- (860) 608-1584
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005118 | CT | Primary |
Addresses
Primary practice location
410 Salem Tpke
Bozrah, CT 06334-1519
Mailing address
410 Salem Tpke
Bozrah, CT 06334-1519
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Branford, CT
- NPI 1932160967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335744000000",
"number": "1053679928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 SALEM TPKE",
"city": "BOZRAH",
"state": "CT",
"postal_code": "063341519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 SALEM TPKE",
"city": "BOZRAH",
"state": "CT",
"postal_code": "063341519",
"telephone_number": "860-608-1584"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAYS ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-30",
"last_updated": "2012-04-30",
"status": "A",
"authorized_official_last_name": "HOLZWORTH",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "860-608-1584",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "005118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bozrah, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.