Organization Active NPI

3D Pathways, LLC

  • Clinical Social Worker
  • Canal Winchester, OH
National Provider Identifier
1275165854
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
3D PATHWAYS, LLC
Practice address
57 W Waterloo St Ste 103
Canal Winchester, OH 43110-1180
Phone
(614) 321-4010
Fax
(844) 944-0144
NPI assigned
Feb 11, 2020
Last updated
Dec 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Deborah Doling-Dade, LISW-SNPI 1457784696
Title
Managing Member
Phone
(614) 321-4010

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 Primary

Addresses

Primary practice location

57 W Waterloo St Ste 103
Canal Winchester, OH 43110-1180

Mailing address

57 W Waterloo St Ste 103
Canal Winchester, OH 43110-1180
Phone (614) 321-4010

Other identifiers 1

IdentifierTypeStateIssuer
210445MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200507002627 OH Part B Supplier - Clinic/Group Practice 0345671392 Receives reassigned benefits from 1 practitioner
Practice locations: Canal Winchester, OH

National Provider Directory

National Provider Directory

Locations

57 W Waterloo St
Ste 103
Canal Winchester, OH 43110
Phone (614) 321-4010

57 W Waterloo St
Ste 203
Canal Winchester, OH 43110

2318 E Main St
#100
Lancaster, OH 43130

Practitioners & affiliated clinicians

Practitioners 3

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": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1275165854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W WATERLOO ST STE 103",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431101180",
            "telephone_number": "614-321-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W WATERLOO ST STE 103",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431101180",
            "telephone_number": "614-321-4010",
            "fax_number": "844-944-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3D PATHWAYS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "DOLING-DADE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "614-321-4010",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210445",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.