Active NPI
Resilient Pathways Therapy Center
- Clinical Social Worker
- Lawton, OK
National Provider Identifier
1073313946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- RESILIENT PATHWAYS THERAPY CENTER
- Practice address
- 1006 NW 47TH St Ste B
Lawton, OK 73505-4759 - Phone
- (858) 352-8840
- NPI assigned
- Mar 18, 2025
- 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
- Aqua Stefano, LCSW
- Title
- Owner
- Phone
- (858) 352-8840
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
1006 NW 47TH St Ste B
Lawton, OK 73505-4759
Mailing address
629 W Main St Ste 196
Oklahoma City, OK 73102-2221
Phone (858) 352-8840
National Provider Directory
National Provider DirectoryLocations
1006 NW 47th St
Ste B
Lawton, OK 73505
Phone (858) 352-8840
629 W Main St
Oklahoma City, OK 73102
Phone (405) 345-5366
Practitioners & 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
- Lawton, OK
- NPI 1730638131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744934400000",
"number": "1073313946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 W MAIN ST STE 196",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731022221",
"telephone_number": "858-352-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 NW 47TH ST STE B",
"city": "LAWTON",
"state": "OK",
"postal_code": "735054759",
"telephone_number": "858-352-8840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESILIENT PATHWAYS THERAPY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-18",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A",
"authorized_official_last_name": "STEFANO",
"authorized_official_first_name": "AQUA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "858-352-8840",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.