Active NPI
Pathways Counseling and Consulting Services, LLC
- Clinical Social Worker
- Quincy, MA
National Provider Identifier
1962708693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 112033
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 112033 | MA | Primary |
| School Social Worker | 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 DirectoryLocations
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.
-
- Mental Health Counselor
- North Quincy, MA
- NPI 1386876779
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.