| Pathways Consulting | |
|
4633 Washington Rd Kenosha WI 53144-3552 | |
| (262) 652-7222 | |
| (262) 652-1734 |
| Full Name | Pathways Consulting |
|---|---|
| Speciality | Social Worker |
| Location | 4633 Washington Rd, Kenosha, Wisconsin |
| Authorized Official Name and Position | Lora Schultz Reinders (CLINIC DIRECTOR) |
| Authorized Official Contact | 2626527222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Consulting 4633 Washington Rd Kenosha WI 53144-4220 Ph: (262) 652-7222 | Pathways Consulting 4633 Washington Rd Kenosha WI 53144-3552 Ph: (262) 652-7222 |
| NPI Number | 1467496729 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 01/19/2023 |
| Certification Date | 01/19/2023 |
| Medicare PECOS PAC ID | 8426086232 |
|---|---|
| Medicare Enrollment ID | O20120516000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467496729 | NPI | - | NPPES |
| 496271 | Other | WI | VALUE OPTIONS |
| 42231700 | Medicaid | WI | |
| 861097264010 | Other | WI | BLUE CROSS & BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2248 (Wisconsin) | Secondary |
| Provider Name | Lora Schultz Reinders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730347451 PECOS PAC ID: 3476692419 Enrollment ID: I20091203000572 |
| Provider Name | Mary Goldbeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265913958 PECOS PAC ID: 5698026987 Enrollment ID: I20180926000870 |
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