| 3d Pathways, Llc | |
|
57 W Waterloo St Ste 103 Canal Winchester OH 43110-1180 | |
| (614) 321-4010 | |
| (844) 944-0144 |
| Full Name | 3d Pathways, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 57 W Waterloo St Ste 103, Canal Winchester, Ohio |
| Authorized Official Name and Position | Deborah Doling-dade (MANAGING MEMBER) |
| Authorized Official Contact | 6143214010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 3d Pathways, Llc 57 W Waterloo St Ste 103 Canal Winchester OH 43110-1180 Ph: (614) 321-4010 | 3d Pathways, Llc 57 W Waterloo St Ste 103 Canal Winchester OH 43110-1180 Ph: (614) 321-4010 |
| NPI Number | 1275165854 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 12/15/2022 |
| Certification Date | 12/15/2022 |
| Medicare PECOS PAC ID | 0345671392 |
|---|---|
| Medicare Enrollment ID | O20200507002627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275165854 | NPI | - | NPPES |
| 210445 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Deborah Doling-dade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457784696 PECOS PAC ID: 1153752118 Enrollment ID: I20200507002905 |
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