| Creative Pathways, Inc | |
|
2918 Minnesota Avenue Southeast Washington DC 20019-3572 | |
| (240) 375-1957 | |
| Not Available |
| Full Name | Creative Pathways, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2918 Minnesota Avenue Southeast, Washington, District Of Columbia |
| Authorized Official Name and Position | John Lewis Monroe (CEO) |
| Authorized Official Contact | 2403751957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Pathways, Inc 602 Seminole Creek Way Silver Spring MD 20904-3572 Ph: (240) 375-1957 | Creative Pathways, Inc 2918 Minnesota Avenue Southeast Washington DC 20019-3572 Ph: (240) 375-1957 |
| NPI Number | 1376193797 |
|---|---|
| Provider Enumeration Date | 09/17/2019 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Medicare PECOS PAC ID | 4789117987 |
|---|---|
| Medicare Enrollment ID | O20241025003942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376193797 | NPI | - | NPPES |
| Provider Name | Michelle A Dillard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083988133 PECOS PAC ID: 0244505436 Enrollment ID: I20241025003973 |
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