MEDICARE: A PATH FORWARD LLC

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

General Provider Information

NPI Number	:	1144190992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PATH FORWARD LLC

Provider Business Mailing Address
First Line	:	17 W. 81ST AVE
Second Line	:	504
City	:	MERRILLVILLE
State	:	IN
Zip	:	46410
Country	:	US
Telephone Number	:	219-214-6889
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 W. 81ST AVE
Second Line	:	504
City	:	MERRILLVILLE
State	:	IN
Zip	:	46410
Country	:	US
Telephone Number	:	219-214-6889
Fax Number	:

Authorized Official
Title or Position	:	LCSW
Name	:	LASHAYIA HOLMAN
Credential	:	LCSW
Telephone Number	:	219-214-6889

Provider Enumeration Date	:	11/07/2025
Last Update Date	:	02/23/2026

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Directions to “A PATH FORWARD LLC ” Practice Location

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