MEDICARE: HEALING PATHWAYS SOCIAL WORK & WELLNESS PLLC

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	:	1255269486
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING PATHWAYS SOCIAL WORK & WELLNESS PLLC

Provider Business Mailing Address
First Line	:	6084 SAGE WILLOW WAY
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-0400
Country	:	US
Telephone Number	:	904-271-0559
Fax Number	:

Provider Business Practice Location Address
First Line	:	6084 SAGE WILLOW WAY
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-0400
Country	:	US
Telephone Number	:	904-271-0559
Fax Number	:

Authorized Official
Title or Position	:	LICENSED CLINICAL SOCIAL WORKER
Name	:	CHRISTA MARIE OTERO
Credential	:	BSP, MSW, LCSW
Telephone Number	:	904-271-0559

Provider Enumeration Date	:	05/09/2026
Last Update Date	:	05/09/2026

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