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General NPI Number Information
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NPI Number | 1861273724
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Entity Type | Organization
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Legal Business Name | PATHWAY CONNECT LCSW, PLLC
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Dates
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Enumeration Date | 10/06/2023
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 838 PELHAMDALE AVE STE Q
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-1032
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Country | US
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Telephone | 914-316-4684
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Fax | 914-933-8860
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Provider Business Mailing Address
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Address Line | 838 PELHAMDALE AVE STE Q
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-1032
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Country | US
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Telephone | 914-316-4684
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Fax | 914-933-8860
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Authorized Official
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Title or Position | OWNER
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Name | DR. VICTORIA A BOATENG
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Credential | DHA, LCSWR, M-CASAC
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Telephone | 914-316-4684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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