Individual provider Active NPI

Thomas R Golden, L.C.S.W.

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1104940444
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3207 Issued in MD
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Sources for this page

Verify at the official NPI Registry.