Inner Pathways PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L2419 Issued in OR

Legal business name

INNER PATHWAYS PC

Practice address

702 Columbia St
Hood River, OR 97031-1720

Phone

(541) 490-5831

NPI assigned

Jan 4, 2013

Last updated

May 25, 2019By 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

Susan Anne Witt, LCSWNPI 1649325580

Title

President

Phone

(541) 490-5831

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 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.

• Susan Anne Witt, LCSW, CADC1

  • Clinical Social Worker
  • Hood River, OR
  • NPI 1649325580

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558742400000",
    "number": "1427395847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970310083",
            "telephone_number": "541-490-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 COLUMBIA ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311720",
            "telephone_number": "541-490-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER PATHWAYS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2019-05-25",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-490-5831",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "03-03-46",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L2419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500674555",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Hood River, OR
• Providers in Hood River, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2019; 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.