Organization Active NPI

MPD Consulting, Inc.

  • Clinical Social Worker
  • Canton, GA
National Provider Identifier
1447799218
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW3678 Issued in GA
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

Updated by the provider on Feb 14, 2017

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.