Organization Active NPI

Pathfinder Support Service

  • Clinical Social Worker
  • Fremont, NE
National Provider Identifier
1275717464
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PATHFINDER SUPPORT SERVICE
Practice address
212 E. 8TH St.
Fremont, NE 60825
Phone
(402) 721-1414
Fax
(402) 753-9914
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Ms. Annette McClure
Title
Community Treatment Aid
Phone
(402) 721-1414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

212 E. 8TH St.
Fremont, NE 60825

Mailing address

212 E. 8TH St.
Fremont, NE 60825
Phone (402) 721-1414

National Provider Directory

National Provider Directory
Tax ID family
Pathfinder Support Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

212 E 8th St
Fremont, NE 68025
Phone (402) 721-1414

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1275717464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E. 8TH ST.",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "60825",
            "telephone_number": "402-721-1414",
            "fax_number": "402-753-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E. 8TH ST.",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "60825",
            "telephone_number": "402-721-1414",
            "fax_number": "402-753-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHFINDER SUPPORT SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "COMMUNITY TREATMENT AID",
        "authorized_official_telephone_number": "402-721-1414",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.