DISTINCTIVE PATHWAYS LLC (NPI# 1568019255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568019255 |
| Entity Type | Organization |
| Organization Name | DISTINCTIVE PATHWAYS LLC |
| Practice Address |
600 Strada Cir Ste 220 Mansfield TX 76063-3209 |
| Mailing Address |
3901 Arlington Highlands Blvd Ste 200 Arlington TX 76018-6050 |
| Practice Telephone | 4692247679 |
| Mailing Telephone | 4692247679 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2020-02-17 |
| Authorized Official Name | DEMETRIAN MARTIN (OWNER) |
| Authorized Official Telephone | 3182358572 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3901 Arlington Highlands Blvd Ste 200, Arlington, TX 760186050 | 4692247679 |
| Street Address |
600 STRADA CIR STE 220 |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-3209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770986416 | Demetria Martin | Social Worker | 600 Strada Cir Ste 220, Mansfield, TX 76063-3209 | 2014-10-08 |
| 1912536244 | Ruquiyah Foye | Counselor | 600 Strada Cir Ste 220, Mansfield, TX 76063-3209 | 2020-04-07 |
| 1952939662 | Caroline Chadwick Kasemsri | Counselor | 600 Strada Cir Ste 220, Mansfield, TX 76063-3209 | 2020-03-29 |
| 1063045102 | Imani Brown | Counselor | 600 Strada Cir Ste 220, Mansfield, TX 76063-3209 | 2020-02-18 |
| 1689217358 | Dimensions of Wellness Counseling, LLC | Counselor | 600 Strada Cir Ste 220, Mansfield, TX 76063-3209 | 2019-10-24 |
| 1407499411 | Marica King | Counselor | 600 Strada Cir Ste 220, Mansfield, TX 76063-3209 | 2019-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325407 | Worlita L. Williams | Social Worker | 510 Rea St, Mansfield, LA 71052-2142 | 2020-10-27 |
| 1861010233 | Amanda Suzanne Mcmorrow | Social Worker | 79 Cottage St, Mansfield, MA 02048-2301 | 2020-07-11 |
| 1578189908 | Beth Ann Sommers-souder | Social Worker | Richland Correctional Institute, 1001 Olivesburg Road, Mansfield, OH 44905 | 2020-06-22 |
| 1457987398 | Jolene Meisner | Social Worker | 31 S Academy St, Mansfield, PA 16933-1149 | 2020-03-22 |
| 1275194565 | Jeanette Rene Holland | Social Worker | 2804 Matlock Rd, Mansfield, TX 76063-5003 | 2019-06-26 |
| 1750845921 | Darlene Ann Schwartz I | Social Worker | 1 Old Colony Rd Apt 214, Mansfield, MA 02048-2185 | 2019-01-22 |
| 1316415375 | Robbin Volkart | Social Worker | 158 Lawndale Rd, Mansfield, MA 02048-1648 | 2018-11-08 |
| 1942784244 | Mary Rego Perry | Social Worker | 19 North White Pine Lane, Mansfield, MA 02048 | 2018-09-21 |
| 1942652904 | Monica Alley | Social Worker | 59 Mill St, Mansfield, MA 02048-3211 | 2016-07-01 |
| 1376934018 | Denise M Ramirez | Social Worker | 404 E Broad St Ste 600, Mansfield, TX 76063-1743 | 2015-02-17 |
| Find all providers in MANSFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.