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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

ILLUMINATED PATH LLC
NPI 1063335503
Social Worker - Clinical in Columbus, OH

Active since August 01, 2026
1789 OLD SHAY CT, COLUMBUS, OH 43229(614) 300-0741 Get Directions Write a Review

NPPES record added: August 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Illuminated Path Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLUMINATED PATH LLC (NPI 1063335503) is a healthcare organization registered as a clinical in Columbus, Ohio and active in the NPI registry since August 2026. The organization lists Evan Wilkerson, Owner, as its authorized official.

NPPES Registry Identity

NPI1063335503
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameILLUMINATED PATH LLC
Location Address1789 OLD SHAY CTColumbus, OH 43229-2063
Mailing Address1789 Old Shay CtColumbus, OH 43229-2063 · (614) 300-0741
Phone(614) 300-0741
Organization SubpartNo
Authorized OfficialEvan WilkersonOwner · (614) 300-0741
Enumeration DateAugust 1, 2026
NPPES CertifiedAugust 1, 2026
✔ NPI 1063335503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1789 OLD SHAY CT, Columbus, OH 43229
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illuminated Path LLC's NPI number?

The NPI number for Illuminated Path LLC is 1063335503. It was assigned to this organization in the NPPES registry on August 1, 2026.

Where is Illuminated Path LLC located?

Illuminated Path LLC is located at 1789 Old Shay Ct, Columbus, OH 43229. The listed phone number is (614) 300-0741.

What is Illuminated Path LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Illuminated Path LLC was last updated on August 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.