MEDICARE: PATHWAY CARING FOR CHILDREN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	S.1440216	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295276806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATHWAY CARING FOR CHILDREN

Provider Business Mailing Address
First Line	:	4895 DRESSLER RD NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44718-2571
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4895 DRESSLER RD NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44718-2571
Country	:	US
Telephone Number	:	330-493-0083
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATIVE DIRECTOR
Name	:	KELLY BERNSTEIN
Credential	:
Telephone Number	:	330-493-0083

Provider Enumeration Date	:	03/15/2017
Last Update Date	:	03/15/2017

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Directions to “PATHWAY CARING FOR CHILDREN ” Practice Location

Language	Start Address	Practice Location

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