Individual provider Active NPI

Suzanne Gold, LCSW

  • Clinical Social Worker
  • Coral Gables, FL
National Provider Identifier
1063614816
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW4264 Issued in FL
Practice address
1320 S Dixie Hwy
Suite 1140
Coral Gables, FL 33146-2926
Phone
(305) 668-9000
Fax
(305) 662-1788
NPI assigned
Jun 4, 2007
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW4264 FL Primary

Addresses

Primary practice location

1320 S Dixie Hwy
Suite 1140
Coral Gables, FL 33146-2926

Mailing address

9990 SW 77TH Ave Ste 217
Miami, FL 33156-2618
Phone (305) 323-1994

Other identifiers 2

IdentifierTypeStateIssuer
764205900MedicaidFL
763887600MedicaidFL

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW4264FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Counseling Services, LLC CurrentSince Nov 17, 2024 Accepting new patients

Locations

9990 SW 77th Ave
Ste 217
Miami, FL 33156
Phone (305) 323-1994

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1063614816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9990 SW 77TH AVE STE 217",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562618",
            "telephone_number": "305-323-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S DIXIE HWY",
            "address_2": "SUITE 1140",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462926",
            "telephone_number": "305-668-9000",
            "fax_number": "305-662-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "SUZANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "764205900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "763887600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.