Pathways Nwpa LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PATHWAYS NWPA LLC

Practice address

12634 Angling Rd Ste F
Edinboro, PA 16412-1369

Phone

(814) 273-9229

Fax

(814) 260-4276

NPI assigned

Apr 9, 2020

Organization subpart

No

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

Authorized official

Name

Janna Klinedinst

Title

Billing Specialist

Phone

(814) 969-5181

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

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

• Kelly Joanna Diley, LCSW

  • Clinical Social Worker
  • Meadville, PA
  • NPI 1497008270
  Medicare reassignment Care Compare group NPD
• Megan Michelle Phillips, LCSW

  • Clinical Social Worker
  • Edinboro, PA
  • NPI 1790355394
  Medicare reassignment Care Compare group NPD
• Joshua David Niedermeyer, MSW, LCSW

  • Clinical Social Worker
  • Edinboro, PA
  • NPI 1558146514
  NPD (past)
• Kayla Shade, LPC

  • Professional Counselor
  • Edinboro, PA
  • NPI 1447938709
  NPD (past)

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1124647227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12634 ANGLING RD STE F",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164121369",
            "telephone_number": "814-273-9229",
            "fax_number": "814-260-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12634 ANGLING RD STE F",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164121369",
            "telephone_number": "814-273-9229",
            "fax_number": "814-260-4276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1041 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163354324",
            "country_code": "US",
            "telephone_number": "814-273-9229",
            "fax_number": "814-260-4276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATHWAYS NWPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "KLINEDINST",
        "authorized_official_first_name": "JANNA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "814-969-5181"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Tri-County Intermediate Unit # 5
• Jesse Daniel Oblinski, LPC
• Kelly A Ohmer, DPT
• Penelope P Orr, PH.D, LPC, ATR-BC,
• Pamer Family Chiropractic & Wellness
• James Burton Paulson, OD
• Summer Renae Payer
• Pennsylvania CVS Pharmacy, L.L.C.
• Carrie J. Petkac, M.A., L.P.C.
• Megan Michelle Phillips, LCSW

• Clinical Social Worker in Edinboro, PA
• Providers in Edinboro, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.