Individual provider Active NPI

Tomiko Gold, LCSW-C

  • Clinical Social Worker
  • Frederick, MD
National Provider Identifier
1184404873
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22301 Issued in MD
Practice address
347 W Patrick St
Frederick, MD 21701-4871
Phone
(203) 996-3359
NPI assigned
Oct 2, 2023
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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 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

LicenseStateTypeSpecialty
22301MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.