Active NPI
Charles L Goold, LISW
- Social Worker
- Akron, OH
National Provider Identifier
1144321324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I713
- Practice address
- 340 S Broadway St
Akron, OH 44308-1529 - Phone
- (330) 253-3100
- Fax
- (330) 253-5248
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | I713 | OH | Primary |
Addresses
Primary practice location
340 S Broadway St
Akron, OH 44308-1529
Mailing address
340 S Broadway St
Akron, OH 44308-1529
Phone (330) 253-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000205313 | Other | OH | ANTHEM |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I713 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1144321324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 S BROADWAY ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443081529",
"telephone_number": "330-253-3100",
"fax_number": "330-253-5248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 S BROADWAY ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443081529",
"telephone_number": "330-253-3100",
"fax_number": "330-253-5248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOLD",
"first_name": "CHARLES",
"middle_name": "L",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000205313",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.