Pathways For Enhanced Living, LLC
Social Worker, Clinical in Ridgewood, New Jersey
1154443588- Practice location
- 169 Dayton St, Ridgewood, NJ 07450-4407
- Phone
- 201-445-3307
- Fax
- —
- Last updated
- July 16, 2012
Pathways For Enhanced Living, LLC is a healthcare organization based in Ridgewood, NJ. Pathways For Enhanced Living, LLC practices in Ridgewood, NJ. The NPI Number for Pathways For Enhanced Living, LLC is 1154443588 and holds a License No. 44SC04507100 (NJ). The current practice location address for Pathways For Enhanced Living, LLC is 169 Dayton St, Ridgewood, NJ 07450-4407 and can be reached out via phone at 201-445-3307.
Provider Profile Details
- NPI Number
- 1154443588
- Provider Name
- Pathways For Enhanced Living, LLC
- Provider Entity Type
- Organization
- Address
- 169 Dayton St, Ridgewood, NJ 07450-4407
- Phone Number
- 201-445-3307
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Marylynn R. Wiseman, LCSW · President · 201-445-3307
- Provider Enumeration Date
- April 5, 2007
- Last Update Date
- July 16, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 169 Dayton St
Ridgewood, NJ 07450-4407 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-4407
- Phone Number
- 201-445-3307
Provider Business Mailing Address Details
- Address
- 169 Dayton St
Ridgewood, NJ 07450-4407 - City
- Ridgewood
- State
- NJ
- Zip
- 07450-4407
- Phone Number
- 201-445-3307
License Information
- License Number
- 44SC04507100
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Pathways For Enhanced Living, LLC?
The NPI number of Pathways For Enhanced Living, LLC is 1154443588. It was assigned on April 5, 2007 and is currently active in the NPPES registry.
What is the specialty of Pathways For Enhanced Living, LLC?
Pathways For Enhanced Living, LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC04507100.
Where does Pathways For Enhanced Living, LLC practice?
The practice location is 169 Dayton St, Ridgewood, NJ 07450-4407. The office can be reached at 201-445-3307 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154443588 directly on the NPPES registry website.