Active NPI
Thomas R Golden, L.C.S.W.
- Clinical Social Worker
- Gaithersburg, MD
National Provider Identifier
1104940444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3207
- Practice address
- 849 Quince Orchard Blvd
Ste I
Gaithersburg, MD 20878-1684 - Phone
- (301) 670-1027
- Fax
- (301) 810-5237
- NPI assigned
- Mar 19, 2007
- Last updated
- Sep 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 3207 | MD | Primary |
Addresses
Primary practice location
849 Quince Orchard Blvd
Ste I
Gaithersburg, MD 20878-1684
Mailing address
2733 John Mills Rd
Adamstown, MD 21710-8936
Phone (301) 670-1027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080905000368 | DC | Practitioner - Clinical Social Worker | 5395811921 | Practice locations: Gaithersburg, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Maryland School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
849 Quince Orchard Blvd
Suite I
Gaithersburg, MD 20878-1684
Phone (301) 670-1027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1104940444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2733 JOHN MILLS RD",
"city": "ADAMSTOWN",
"state": "MD",
"postal_code": "217108936",
"telephone_number": "301-670-1027",
"fax_number": "301-810-5237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 QUINCE ORCHARD BLVD",
"address_2": "STE I",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208781684",
"telephone_number": "301-670-1027",
"fax_number": "301-810-5237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "THOMAS",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "3207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
- Daniel C Gold, M.D.
- Katie Goldberg, M.S. CCC-SLP
- Golden Ear Consulting Counseling and Training Center LLC
- Golden Touch Health Care, LLC
- Lindsay Ira Golden, MD
- Diane Beck Goldsmith, LCSWC
- Sherlyn Barbara Goldstein-Askwith (Aka Askwith), LCSW-C
- Melissa Goldstein-Boswell
- Golgotha Touch Behavioral Health Services LLC
- Yuliana Gomez Paternina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.