Organization Active NPI

Tailoriste Consultants, Inc.

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1427911353
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TAILORISTE CONSULTANTS, INC.
Practice address
3100 Interstate North Cir SE Ste 200
Atlanta, GA 30339-2384
Phone
(770) 912-5163
NPI assigned
Dec 8, 2025
Last updated
Dec 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Shirlene Mineta Gordon, DR., LCSWNPI 1982851820
Title
Ceo
Phone
(770) 912-5163

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 Worker 1041C0700X NU Primary

Addresses

Primary practice location

3100 Interstate North Cir SE Ste 200
Atlanta, GA 30339-2384

Mailing address

3100 Interstate North Cir SE Ste 200
Atlanta, GA 30339-2384
Phone (770) 912-5163

National Provider Directory

National Provider Directory

Locations

3100 Interstate North Cir SE
Ste 200
Atlanta, GA 30339
Phone (404) 947-6004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1427911353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 INTERSTATE NORTH CIR SE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392384",
            "telephone_number": "770-912-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 INTERSTATE NORTH CIR SE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392384",
            "telephone_number": "770-912-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAILORISTE CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "SHIRLENE",
        "authorized_official_middle_name": "MINETA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-912-5163",
        "authorized_official_credential": "DR., LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.