Active NPI
Mark S Golden, MSW
- Clinical Social Worker
- Newton, MA
National Provider Identifier
1023194263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 104664
- Practice address
- 671 Grove St
Newton, MA 02462 - Phone
- (617) 244-3302
- Fax
- (781) 449-3134
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 104664 | MA | Primary |
Addresses
Primary practice location
671 Grove St
Newton, MA 02462
Mailing address
671 Grove St
Newton, MA 02462
Phone (617) 244-3302
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 721750 | Other | MA | TUFTS |
| 06290200 | Other | MA | MAGELLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104664 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023194263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 GROVE ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "02462",
"telephone_number": "617-244-3302",
"fax_number": "781-449-3134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "671 GROVE ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "02462",
"telephone_number": "617-244-3302",
"fax_number": "781-449-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "MARK",
"middle_name": "S",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "104664",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "721750",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "06290200",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.