Open Door Counseling Licensed Clinical Social Worker Agencies Inc

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

OPEN DOOR COUNSELING LICENSED CLINICAL SOCIAL WORKER AGENCIES INC

Doing business as

Open Door Counseling

Practice address

436 W 4TH St Ste 220
Pomona, CA 91766-1623

Phone

(909) 641-0846

Fax

(909) 694-0550

NPI assigned

Aug 19, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Frederick Smith, MSW

Title

Director

Phone

(909) 641-0846

Specialties & licenses 1

Addresses

Other names 1

• Open Door Counseling Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Fredrick Scott Smith

  • Mental Health Counselor
  • Rialto, CA
  • NPI 1801028568
  NPD

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1679185847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 N RIVERSIDE AVE STE C-193",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923774685",
            "telephone_number": "909-641-0846",
            "fax_number": "909-694-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 W 4TH ST STE 220",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661623",
            "telephone_number": "909-641-0846",
            "fax_number": "909-694-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR COUNSELING LICENSED CLINICAL SOCIAL WORKER AGENCIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-641-0846",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SCOTT@OPENDOORCA.COM",
            "affiliation": "N",
            "address_1": "436 W 4th St Ste 220",
            "city": "Pomona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917661623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Open Door Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bernard Ong, M.D.
• Ye Min Oo
• Open Arms Mens Center
• Open Arms Mens Center
• Open Arms Mens Center
• Elizabeth Ann Orbeta
• Evelyn Oregel
• Allen Zachary Orellana, CADC II, A050090718
• Nathalie Shirley Orellana
• Oscar Ernesto Orellana

• Social Worker in Pomona, CA
• Providers in Pomona, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.