| Pathways To Perseverance Llc | |
|
56 Poquonock Ave Windsor CT 06095-2507 | |
| (475) 261-0459 | |
| Not Available |
| Full Name | Pathways To Perseverance Llc |
|---|---|
| Speciality | Social Worker |
| Location | 56 Poquonock Ave, Windsor, Connecticut |
| Authorized Official Name and Position | Jania Yvonne Ross (OWNER/CLINICIAN) |
| Authorized Official Contact | 4752610459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways To Perseverance Llc 56 Poquonock Ave Windsor CT 06095-2507 Ph: (475) 261-0459 | Pathways To Perseverance Llc 56 Poquonock Ave Windsor CT 06095-2507 Ph: (475) 261-0459 |
| NPI Number | 1750142220 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/21/2024 |
| Medicare PECOS PAC ID | 6103264072 |
|---|---|
| Medicare Enrollment ID | O20240411000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750142220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jania Y Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366159584 PECOS PAC ID: 7911345889 Enrollment ID: I20240411000363 |
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