Organization Active NPI

Pathways Counseling and Consulting Services, LLC

  • Clinical Social Worker
  • Quincy, MA
National Provider Identifier
1962708693
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
112033 Issued in MA
Legal business name
PATHWAYS COUNSELING AND CONSULTING SERVICES, LLC
Practice address
97 Holmes St FL 2
Quincy, MA 02171-2433
Phone
(781) 866-9497
Fax
(617) 770-1174
NPI assigned
Jan 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
Ms. Samantha Martinez, LICSW
Title
Owner/Program Director
Phone
(781) 866-9497

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 112033 MA Primary
School Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041S0200X 112033 MA

Addresses

Primary practice location

97 Holmes St FL 2
Quincy, MA 02171-2433

Mailing address

97 Holmes St FL 2
Quincy, MA 02171-2433
Phone (781) 866-9497

National Provider Directory

National Provider Directory

Locations

97 Holmes St
Ste 2
Quincy, MA 02171
Phone (617) 770-1170

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": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1962708693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 HOLMES ST FL 2",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712433",
            "telephone_number": "781-866-9497",
            "fax_number": "617-770-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 HOLMES ST FL 2",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712433",
            "telephone_number": "781-866-9497",
            "fax_number": "617-770-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS COUNSELING AND CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "781-866-9497",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "112033",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "112033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.