Real Talk Therapeutic Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REAL TALK THERAPEUTIC SERVICES LLC

Practice address

3350 Ridgelake Dr Ste 200
Metairie, LA 70002-3831

Phone

(504) 434-0017

NPI assigned

Dec 30, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Jillana Vessel-Thompson, LCSWNPI 1063797074

Title

Owner/Clinical Social Worker

Phone

(504) 434-0017

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

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

• Jillana Vessel-Thompson, LCSW

  • Clinical Social Worker
  • Harvey, LA
  • NPI 1063797074
  Medicare reassignment NPD Authorized official
• Renee Reynolds, LCSW

  • Clinical Social Worker
  • Harvey, LA
  • NPI 1861679250
  NPD (past)

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1588324693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 RIDGELAKE DR STE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023831",
            "telephone_number": "504-434-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 RIDGELAKE DR STE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023831",
            "telephone_number": "504-434-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL TALK THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "VESSEL-THOMPSON",
        "authorized_official_first_name": "JILLANA",
        "authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "504-434-0017",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mason James Reaux
• Robert L Rebert Jr., DDS
• Amanda Recinos
• Raquel Redard, NP
• Dustin Herbert Reed, PHD LIMHP, LPC, NCC

• Clinical Social Worker in Metairie, LA
• Providers in Metairie, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.