Organization Active NPI

A Path With Heart LLC

  • Clinical Social Worker
  • Danbury, CT
National Provider Identifier
1255719175
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006707 Issued in CT
Legal business name
A PATH WITH HEART LLC
Practice address
152 Deer Hill Ave
Suite 113
Danbury, CT 06810-7791
Phone
(203) 240-4683
NPI assigned
May 12, 2015
Last updated
Apr 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Mr. Stephen M BeckNPI 1033431143
Title
Director
Phone
(203) 240-4683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 006707 CT Primary

Addresses

Primary practice location

152 Deer Hill Ave
Suite 113
Danbury, CT 06810-7791

Mailing address

9 Kristy Dr
Bethel, CT 06801-3001
Phone (203) 240-4683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220414000944 CT Part B Supplier - Clinic/Group Practice 2567858863 Receives reassigned benefits from 1 practitioner
Practice locations: Danbury, CT

National Provider Directory

National Provider Directory

Locations

152 Deer Hill Ave
Ste 113
Danbury, CT 06810
Phone (203) 240-4683

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1255719175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 KRISTY DR",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068013001",
            "telephone_number": "203-240-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 DEER HILL AVE",
            "address_2": "SUITE 113",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107791",
            "telephone_number": "203-240-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PATH WITH HEART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-240-4683",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.