Active NPI
A Path to Hope Therapy Services, LLC
- Clinical Social Worker
- Blythewood, SC
National Provider Identifier
1740919067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- A PATH TO HOPE THERAPY SERVICES, LLC
- Practice address
- 932 Picotee CT
Blythewood, SC 29016-7649 - Phone
- (803) 370-1078
- NPI assigned
- Jun 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yaa-Serwa Williams, LISW-CP
- Title
- Owner
- Phone
- (803) 370-1078
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
932 Picotee CT
Blythewood, SC 29016-7649
Mailing address
932 Picotee CT
Blythewood, SC 29016-7649
Phone (803) 370-1078
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 082662559 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1654819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654819200000",
"number": "1740919067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 PICOTEE CT",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290167649",
"telephone_number": "803-370-1078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 PICOTEE CT",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290167649",
"telephone_number": "803-370-1078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A PATH TO HOPE THERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-10",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "YAA-SERWA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-370-1078",
"authorized_official_credential": "LISW-CP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "082662559",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blythewood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.