Organization Active NPI

Pathway Connect LCSW, PLLC

  • Clinical Social Worker
  • New Rochelle, NY
National Provider Identifier
1861273724
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PATHWAY CONNECT LCSW, PLLC
Practice address
838 Pelhamdale Ave Ste Q
New Rochelle, NY 10801-1032
Phone
(914) 316-4684
Fax
(914) 933-8860
NPI assigned
Oct 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Dr. Victoria A Boateng, DHA, LCSWR, M-CASACNPI 1972950855
Title
Owner
Phone
(914) 316-4684

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

838 Pelhamdale Ave Ste Q
New Rochelle, NY 10801-1032

Mailing address

838 Pelhamdale Ave Ste Q
New Rochelle, NY 10801-1032
Phone (914) 316-4684

Other names 1

  • Pathway Connect LCSW, PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250319004065 NY Part B Supplier - Clinic/Group Practice 6901328830 Receives reassigned benefits from 1 practitioner
Practice locations: New Rochelle, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1861273724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 PELHAMDALE AVE STE Q",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011032",
            "telephone_number": "914-316-4684",
            "fax_number": "914-933-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 PELHAMDALE AVE STE Q",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011032",
            "telephone_number": "914-316-4684",
            "fax_number": "914-933-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY CONNECT LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "BOATENG",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-316-4684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHA, LCSWR, M-CASAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathway Connect LCSW, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pathway Connect LCSW, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.