Modern Talk LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MODERN TALK LCSW PLLC

Doing business as

Modern Talk

Practice address

115 E 61St St Ste 11S
New York, NY 10065-8183

Phone

(917) 553-1870

NPI assigned

Sep 4, 2019

Last updated

Sep 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mariel Mangold, LCSWNPI 1053692772

Title

Co-Founder

Phone

(917) 553-1870

Specialties & licenses 1

Addresses

Other names 1

• Modern Talk Doing business as

Locations

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.

• Mariel Chloe Mangold, LCSW

  • Social Worker
  • New York, NY
  • NPI 1053692772
  Authorized official Same address or phone

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1649828575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 1ST ST PH 9C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151987",
            "telephone_number": "917-553-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 61ST ST STE 11S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658183",
            "telephone_number": "917-553-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN TALK LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "MANGOLD",
        "authorized_official_first_name": "MARIEL",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "917-553-1870",
        "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": [
        {
            "organization_name": "Modern Talk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Modern Integrative Wellness NP in Psychiatry PC
• Modern Life Home Care, LLC
• Modern Medical PC
• Modern Mindful Therapy LCSW PC
• Modern Pediatric Dentistry PLLC
• Nia Modeste, B.S., M.S.
• Khushbu Kirti Modh, LMSW
• Janki Modha, DPT
• Achal Modi
• Akash R Modi, PT

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.