Jason A. Gold, PH.D - LCSW
Individual provider Active NPI Social Worker · Skillman, NJ
NPI 1104922012 · NPPES record last updated Aug 7, 2007
Key facts
- NPI
- 1104922012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 44SC04880900 (NJ)
- Practice address
- 43 Tamarack Cir
Skillman, NJ 08558-2019 - Phone
- (609) 356-0034
- Fax
- (609) 356-0034
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085639 | NJ | MD | Psychologist |
| 44SC04880900 | NJ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family & Vocational Services of Middlesex County Inc. | Psychologist | Past |
Accepting new patients |
Interoperability endpoints
- jgold99232@epicdirect.rwjbh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 085639 | NJ | |
| Social Worker | 104100000X | 44SC04880900 | NJ | Yes |
Addresses
Primary practice location
43 Tamarack Cir
Skillman, NJ 08558-2019
Mailing address
28 Academy St
Princeton, NJ 08540-9589
Phone (609) 356-0034
Other providers in Skillman, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.