Path to Hope & Healing LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PATH TO HOPE & HEALING LLC

Practice address

23 School House Rd
Old Saybrook, CT 06475-4043

Phone

(203) 974-3746

NPI assigned

May 8, 2023

Organization subpart

No

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

Authorized official

Name

Elizabeth Fernandes, LCSWNPI 1851697650

Title

Owner/LCSW

Phone

(203) 974-3746

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• Elizabeth Fernandes, LCSW

  • Clinical Social Worker
  • Middletown, CT
  • NPI 1851697650
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1174213797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1188",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064755188",
            "telephone_number": "203-974-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SCHOOL HOUSE RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754043",
            "telephone_number": "203-974-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH TO HOPE & HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "FERNANDES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "203-974-3746",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Ann Page, PT
• Steven Thomas Page
• Partners in Primary Care, LLC
• Brenda Catherine Partyka, LCSW
• Suzanne Pascoe
• Donna Peano
• Mary-Katherine Louetta Peralez, LPC, LMHC, LCPC
• Jordyn R Perlin
• Sally Petruzzello, PTA
• Joanne Petursson, PSY.D.

• Clinical Social Worker in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.