A Path Forward LLC
Organization Active NPI Clinical Social Worker · Merrillville, IN
NPI 1144190992 · NPPES record last updated Feb 23, 2026
Key facts
- NPI
- 1144190992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- A PATH FORWARD LLC
- Practice address
- 17 W. 81St Ave
504
Merrillville, IN 46410 - Phone
- (219) 214-6889
- NPI assigned
- Nov 7, 2025
- Organization subpart
- No
Authorized official
- Name
- Lashayia Holman, LCSW
- Title
- LCSW
- Phone
- (219) 214-6889
Practitioners 1
-
Lashayia Holman, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260311003043 | IN | Part B Supplier - Clinic/Group Practice | 2163905720 |
Receives reassigned benefits from 1 practitioner Practice locations: Crown Point, IN |
National Provider Directory
Locations
17 W 81St Ave
504
Merrillville, IN 46410
Phone (219) 214-6889
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
17 W. 81St Ave
504
Merrillville, IN 46410
Mailing address
17 W. 81St Ave
504
Merrillville, IN 46410
Phone (219) 214-6889
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All providers in Merrillville, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.