A Pathway to a Clear Mind, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

A PATHWAY TO A CLEAR MIND, INC

Practice address

12801 Old Fort Rd
Ste. 303
Fort Washington, MD 20744-2844

Phone

(240) 429-5390

Fax

(240) 260-0743

NPI assigned

Dec 30, 2015

Last updated

May 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emma NorfleetNPI 1679752539

Title

Ceo/President

Phone

(240) 429-5390

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emma Jean Norfleet, LICSW

  • Clinical Social Worker
  • Accokeek, MD
  • NPI 1679752539
  Authorized official Same address or phone

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1205291622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 OLD FORT RD",
            "address_2": "STE. 303",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207442844",
            "telephone_number": "240-429-5390",
            "fax_number": "240-260-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 OLD FORT RD",
            "address_2": "STE. 303",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207442844",
            "telephone_number": "240-429-5390",
            "fax_number": "240-260-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PATHWAY TO A CLEAR MIND, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "NORFLEET",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "240-429-5390"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "741080",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Fort Washington, MD
• Providers in Fort Washington, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.