Pathways For Enhanced Living, Llc in Ridgewood - Clinical
Pathways For Enhanced Living, Llc - NPI 1154443588
Pathways For Enhanced Living, Llc is a Clinical in Ridgewood, New Jersey. Pathways For Enhanced Living, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Pathways For Enhanced Living, Llc is 1154443588. The last update date is 2012-07-16.
Pathways For Enhanced Living, Llc's current location address is 169 Dayton St, Ridgewood, New Jersey. You can contact this provider via phone number 2014453307. The mailing address for Pathways For Enhanced Living, Llc is 169 Dayton St, Ridgewood, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pathways For Enhanced Living, Llc |
|---|---|
| Address | 169 Dayton St, Ridgewood, New Jersey |
| Phone Number | 2014453307 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wiseman R. Marylynn |
| Credentials | LCSW |
| Telephone Number | 2014453307 |
NPI Number Detail
| NPI Number | 1154443588 |
|---|---|
| Provider Enumeration Date | 2007-04-05 |
| Last Updated Date | 2012-07-16 |
Provider Mailing Address Detail
| Address | 169 Dayton St |
|---|---|
| City | Ridgewood |
| State | New Jersey (NJ) |
| Post Code | 74504407 |
| Phone Number | 2014453307 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SC04507100 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pathways For Enhanced Living, Llc by the Centers for Medicare & Medicaid Services?
The Pathways For Enhanced Living, Llc has been issued the NPI (National Provider Identifier) 1154443588 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Pathways For Enhanced Living, Llc is physically located?
The Pathways For Enhanced Living, Llc is physically situated at the following address: 169 Dayton St, Ridgewood, NJ, 74504407.
What is Pathways For Enhanced Living, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pathways For Enhanced Living, Llc is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did the Pathways For Enhanced Living, Llc receive its 1154443588?
The Pathways For Enhanced Living, Llc was issued its 1154443588 on 2007-04-05, which is the date when the organization was assigned this unique identifier.
When was the information regarding Pathways For Enhanced Living, Llc most recently updated?
The details pertaining to the Pathways For Enhanced Living, Llc, including its address, specialty, and other relevant information, were last refreshed on 2012-07-16.
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