Pathway to Eden

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PATHWAY TO EDEN

Practice address

107 Brookside Way
Pikeville, NC 27863-8480

Phone

(919) 980-0824

NPI assigned

Sep 18, 2024

Organization subpart

No

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

Authorized official

Name

Donita Smith, LCSWNPI 1033758693

Title

Owner

Phone

(919) 980-0824

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

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

• Donita L Smith, LCSW

  • Clinical Social Worker
  • Pikeville, NC
  • NPI 1033758693
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1073340592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 FOREST HILLS RD W # 1067",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933416",
            "telephone_number": "919-980-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BROOKSIDE WAY",
            "city": "PIKEVILLE",
            "state": "NC",
            "postal_code": "278638480",
            "telephone_number": "919-980-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY TO EDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DONITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-980-0824",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Rudine Morrison
• Mosha Counseling Center, PLLC
• Amanda L Murphy
• Samantha Renee Orozco
• Panacea Mental Wellness PLLC
• Tennillya Pearce, NP
• Pikeville Family Care Home
• Premier Operating Countryside Village, LLC
• Bridgette Yvette Rhodes, LCAS
• Lisa O. Rice

• Clinical Social Worker in Pikeville, NC
• Providers in Pikeville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.