Organization Active NPI

Resilient Pathways Therapy Center

  • Clinical Social Worker
  • Lawton, OK
National Provider Identifier
1073313946
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Aqua Stefano, LCSWNPI 1730638131
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.