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PATHWAYS TO WELLNESS MINNESOTA LTD. NPI 1306260005


NPI Information

NPI: 1306260005
Provider Name: PATHWAYS TO WELLNESS MINNESOTA LTD.

Former Legal Business Name: PATHWAYS TO WELLNESS, LLC

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
1409 WILLOW ST STE 109
MINNEAPOLIS, MN
ZIP 55403
Phone: (612) 474-1700
Get Directions

PATHWAYS TO WELLNESS MINNESOTA LTD. is a clinical social worker in Minneapolis, MN. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. PATHWAYS TO WELLNESS MINNESOTA LTD. NPI is 1306260005. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Pathways To Wellness, Llc.

The provider's business location address is:

1409 WILLOW ST STE 109
MINNEAPOLIS, MN
ZIP 55403-241
Phone: (612) 474-1700
Fax: (612) 474-1710

The provider's authorized official is Jennifer Ann Baumgardner Barnes .
The authorized official title is President And Provider and has the following contact phone number (612) 474-1700.

The enumeration date for this NPI number is 2/15/2014 and was last updated on 9/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health1681COLORADONo
21041C0700XSocial WorkerClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19000152564MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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