Healthcare Provider Details

I. General information

NPI: 1639099104
Provider Name (Legal Business Name): THERAPEUTIC PATHWAYS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 BROADWAY STE N
ALBANY NY
12207-2922
US

IV. Provider business mailing address

418 BROADWAY STE N
ALBANY NY
12207-2922
US

V. Phone/Fax

Practice location:
  • Phone: 516-631-4818
  • Fax:
Mailing address:
  • Phone: 516-631-4818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. LORRAINE T RICHARDSON
Title or Position: CLINICIAN
Credential: CLINICAL SOCIAL WORK
Phone: 516-631-4818