NPIMap

Organization Active NPI

Pathways-VA, Inc.

  • Clinical Social Worker
  • Petersburg, VA
National Provider Identifier
1467770859
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC301671 Issued in DC
Legal business name
PATHWAYS-VA, INC.
Practice address
1200 W Washington St
Petersburg, VA 23803-3923
Phone
(804) 862-1104
Fax
(804) 862-1015
NPI assigned
May 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Authorized official

Name
Dwala Ferrell
Title
Executive Director
Phone
(804) 862-1104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LC301671 DC Primary

Addresses

Primary practice location

1200 W Washington St
Petersburg, VA 23803-3923

Mailing address

1200 W Washington St
Petersburg, VA 23803-3923
Phone (804) 862-1104

National Provider Directory

National Provider Directory

Locations

1200 W Washington St
Petersburg, VA 23803
Phone (804) 862-1104

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1467770859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W WASHINGTON ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238033923",
            "telephone_number": "804-862-1104",
            "fax_number": "804-862-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W WASHINGTON ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238033923",
            "telephone_number": "804-862-1104",
            "fax_number": "804-862-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS-VA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "DWALA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-862-1104"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC301671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.