Provider Demographics
NPI:1861273724
Name:PATHWAY CONNECT LCSW, PLLC
Entity type:Organization
Organization Name:PATHWAY CONNECT LCSW, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOATENG
Authorized Official - Suffix:
Authorized Official - Credentials:DHA, LCSWR, M-CASAC
Authorized Official - Phone:914-316-4684
Mailing Address - Street 1:838 PELHAMDALE AVE STE Q
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-1032
Mailing Address - Country:US
Mailing Address - Phone:914-316-4684
Mailing Address - Fax:914-933-8860
Practice Address - Street 1:838 PELHAMDALE AVE STE Q
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-1032
Practice Address - Country:US
Practice Address - Phone:914-316-4684
Practice Address - Fax:914-933-8860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-06
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty