Pathwaysmhddsa

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C001397 Issued in NC

Legal business name

PATHWAYSMHDDSA

Practice address

901 S New Hope Rd
Gastonia, NC 28054-5829

Phone

(704) 884-2051

Fax

(704) 669-2017

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Miss Elizabeth Ann Lattimore, LCSW

Title

Crisis Clinical Specialist

Phone

(704) 476-4010

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pathways Doing business as

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265587968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545829",
            "telephone_number": "704-884-2051",
            "fax_number": "704-669-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545829",
            "telephone_number": "704-884-2051",
            "fax_number": "704-669-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYSMHDDSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LATTIMORE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CRISIS CLINICAL SPECIALIST",
        "authorized_official_telephone_number": "704-476-4010",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106220",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER",
            "identifier": "C001397",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Varun Patel
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• Pathways Human Services of North Carolina, LLC
• Patrick McIntyre, DDS, PLLC
• Karen D Patten, RDH
• Patterson Psych Group, PLLC
• Carly Patterson
• Erin Bagwell Patterson, PSYD

• All providers in Gastonia, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.