Active NPI
MPD Consulting, Inc.
- Clinical Social Worker
- Canton, GA
National Provider Identifier
1447799218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW3678
- Legal business name
- MPD CONSULTING, INC.
- Practice address
- 310 Paper Trail Way
Suite 106
Canton, GA 30115-5203 - Phone
- (678) 880-4645
- Fax
- (770) 628-0046
- NPI assigned
- Feb 14, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Patricia Marie Rickman, LCSW
- Title
- Owner
- Phone
- (404) 403-7298
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW3678 | GA | Primary |
Addresses
Primary practice location
310 Paper Trail Way
Suite 106
Canton, GA 30115-5203
Mailing address
410 Beechwood LN
Woodstock, GA 30189-8111
Phone (404) 403-7298
National Provider Directory
National Provider Directory- Tax ID family
- MPD Consulting Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Canton, GA
- NPI 1427500685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487030400000",
"number": "1447799218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 BEECHWOOD LN",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301898111",
"telephone_number": "404-403-7298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 PAPER TRAIL WAY",
"address_2": "SUITE 106",
"city": "CANTON",
"state": "GA",
"postal_code": "301155203",
"telephone_number": "678-880-4645",
"fax_number": "770-628-0046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MPD CONSULTING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-14",
"last_updated": "2017-02-14",
"status": "A",
"authorized_official_last_name": "RICKMAN",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-403-7298",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW3678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.