Red Door Therapeutic Collective

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RED DOOR THERAPEUTIC COLLECTIVE

Practice address

720 Lenox Ave
New York, NY 10039-4403

Phone

(646) 996-7826

NPI assigned

Mar 16, 2021

Last updated

Mar 16, 2021By 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

Ms. Celeste M Tolbert, LCSWNPI 1235528167

Title

Owner/Psychotherapist

Phone

(917) 740-4781

Specialties & licenses 1

Addresses

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.

• Celeste Tolbert, LMSW

  • Clinical Social Worker
  • Ny, NY
  • NPI 1235528167
  NPD Authorized official

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1679158067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 STATE STREET",
            "address_2": "STE 700 OFFICE 40",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12207",
            "telephone_number": "917-740-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100394403",
            "telephone_number": "646-996-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED DOOR THERAPEUTIC COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "917-740-4781",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 16, 2021; 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.