Provider Demographics
NPI:1659767663
Name:NEW PATHWAYS
Entity Type:Organization
Organization Name:NEW PATHWAYS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MITTELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:410-464-2600
Mailing Address - Street 1:110 WEST RD
Mailing Address - Street 2:SUITE 430
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2316
Mailing Address - Country:US
Mailing Address - Phone:410-464-2600
Mailing Address - Fax:410-464-2687
Practice Address - Street 1:1045 TAYLOR AVE
Practice Address - Street 2:SUITE 21
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-8331
Practice Address - Country:US
Practice Address - Phone:667-308-2319
Practice Address - Fax:667-308-2352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X, 251B00000X
MD00024253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No253J00000XAgenciesFoster Care Agency