Opening Up, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004849 Issued in GA

Legal business name

OPENING UP, LLC

Practice address

201 17TH St NW Ste 300
Atlanta, GA 30363-1191

Phone

(770) 628-7255

Fax

(770) 628-7256

NPI assigned

Dec 12, 2017

Organization subpart

No

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

Authorized official

Name

Mr. George Williams, LCSW

Title

Owner/Operator

Phone

(678) 334-2640

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1578078523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PEACHTREE ST NE STE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094516",
            "telephone_number": "678-334-2640",
            "fax_number": "678-334-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 17TH ST NW STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303631191",
            "telephone_number": "770-628-7255",
            "fax_number": "770-628-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPENING UP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "678-334-2640",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104196161",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.