Provider Demographics
NPI:1639212103
Name:PAHWAYS OF DELAWARE
Entity Type:Organization
Organization Name:PAHWAYS OF DELAWARE
Other - Org Name:PATHWAYS OF DELAWARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN. ASST./BILLER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-573-5073
Mailing Address - Street 1:101 ROGERS RD.
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801
Mailing Address - Country:US
Mailing Address - Phone:302-573-5073
Mailing Address - Fax:302-573-5072
Practice Address - Street 1:101 ROGERS RD.
Practice Address - Street 2:SUITE 102
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801
Practice Address - Country:US
Practice Address - Phone:302-573-5073
Practice Address - Fax:302-573-5072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2017-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000785101YM0800X
DEPC-103K00000X103K00000X
DEPC-0000803103K00000X, 103TR0400X
DEQ1-00011731041C0700X
DEQ1-00010151041C0700X
DEQ1-00015071041C0700X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitationGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE132643815OtherSOCIAL WORKER
DE1932422391OtherSOCIAL WORKER
DE1699110015OtherSOCIAL WORKER
DE1760712202OtherSOCIAL WORKER
DE1346789369OtherSOCIAL WORKER