NPIMap

Organization Active NPI

Open Door Talk, LLC

  • Clinical Social Worker
  • Woodstock, GA
National Provider Identifier
1295329969
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OPEN DOOR TALK, LLC
Practice address
220 Heritage Walk Ste 101
Woodstock, GA 30188-6458
Phone
(770) 376-0906
NPI assigned
Feb 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle Pintado, LCSWNPI 1962937391
Title
Founder & Ceo
Phone
(770) 376-0906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

220 Heritage Walk Ste 101
Woodstock, GA 30188-6458

Mailing address

220 Heritage Walk Ste 101
Woodstock, GA 30188-6458
Phone (770) 376-0906

Other names 1

  • Open Door Talk, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

485 S Perry St
Lawrenceville, GA 30046

220 Heritage Walk
Ste 101
Woodstock, GA 30188
Phone (770) 376-0906

3205 S Cherokee Ln
Ste 130
Woodstock, GA 30188
Phone (770) 300-7850

1003 Weatherstone Pkwy
Ste 310
Woodstock, GA 30188
Phone (770) 300-7850

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1295329969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HERITAGE WALK STE 101",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886458",
            "telephone_number": "770-376-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HERITAGE WALK STE 101",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886458",
            "telephone_number": "770-376-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR TALK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "PINTADO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "770-376-0906",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Door Talk, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.