Active NPI
Suzanne Gold, LCSW
- Clinical Social Worker
- Coral Gables, FL
National Provider Identifier
1063614816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW4264
- 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, 2024
- Sex
- Female
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 764205900 | Medicaid | FL | |
| 763887600 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW4264 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gold Counseling Services, LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1689280752
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.