Active NPI
Tomiko Gold, LCSW-C
- Clinical Social Worker
- Frederick, MD
National Provider Identifier
1184404873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22301
- Practice address
- 347 W Patrick St
Frederick, MD 21701-4871 - Phone
- (203) 996-3359
- NPI assigned
- Oct 2, 2023
- Last updated
- Oct 2, 2023
- 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 | 22301 | MD | Primary |
Addresses
Primary practice location
347 W Patrick St
Frederick, MD 21701-4871
Mailing address
347 W Patrick St
Frederick, MD 21701-4871
Phone (203) 996-3359
Other practice location 1
11717 Old National Pike
New Market, MD 21774-6154
Phone (301) 882-7489
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 18, 2026 through Apr 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22301 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Oak Pediatrics DRS Battiata & Impeduglia PA | Clinical | Past | Accepting new patients |
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.
-
dba Fred Co Behavioral Health
- Pediatrics Physician
- New Market, MD
- NPI 1225335441
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1184404873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 W PATRICK ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014871",
"telephone_number": "203-996-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 W PATRICK ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014871",
"telephone_number": "203-996-3359"
}
],
"practiceLocations": [
{
"address_1": "11717 Old National Pike",
"address_purpose": "LOCATION",
"city": "New Market",
"state": "MD",
"postal_code": "217746154",
"country_code": "US",
"telephone_number": "301-882-7489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLD",
"first_name": "TOMIKO",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-02",
"last_updated": "2023-10-02",
"certification_date": "2023-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "22301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.