Organization Active NPI

Pathways Counseling of Saratoga, PC

  • Clinical Social Worker
  • Saratoga Springs, NY
National Provider Identifier
1720540776
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PATHWAYS COUNSELING OF SARATOGA, PC
Practice address
15 Maple Dell Ste 3
Saratoga Springs, NY 12866-2953
Phone
(518) 313-0004
Fax
(518) 581-8783
NPI assigned
Apr 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
Sarah Etkin-Sefcol, LCSW-R
Title
Owner/Director/Provider
Phone
(518) 313-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

15 Maple Dell Ste 3
Saratoga Springs, NY 12866-2953

Mailing address

222 East Ave
Saratoga Springs, NY 12866-3619
Phone (518) 313-0004

Other practice location 1

683 Route 29
Saratoga Springs, NY 12866-5403
Phone (518) 313-0004

Other identifiers 1

IdentifierTypeStateIssuer
180400108MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Pathways-Sarah-Etkin.clientsecure.me Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190422000628 NY Part B Supplier - Clinic/Group Practice 5496097529 Receives reassigned benefits from 1 practitioner
Practice locations: Saratoga Springs, NY

National Provider Directory

National Provider Directory

Locations

683 Route 29
Saratoga Springs, NY 12866
Phone (518) 313-0004

15 Maple Dell
Ste 3
Saratoga Springs, NY 12866
Phone (518) 313-0004

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1720540776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 EAST AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128663619",
            "telephone_number": "518-313-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAPLE DELL STE 3",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662953",
            "telephone_number": "518-313-0004",
            "fax_number": "518-581-8783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "683 Route 29",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128665403",
            "country_code": "US",
            "telephone_number": "518-313-0004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATHWAYS COUNSELING OF SARATOGA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "ETKIN-SEFCOL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER/DIRECTOR/PROVIDER",
        "authorized_official_telephone_number": "518-313-0004",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180400108",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pathways-Sarah-Etkin.clientsecure.me",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Client Portal",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HTML",
            "address_1": "15 Maple Dell Ste 3",
            "city": "Saratoga Springs",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128662953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.