Active NPI
Heather Gold, LCSW119180
- Clinical Social Worker
- Redding, CA
National Provider Identifier
1295129088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW119180
- Practice address
- 13970 Ells Way
Redding, CA 96003-8930 - Phone
- (530) 605-3223
- NPI assigned
- Mar 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW36658 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW119180 | CA | Primary |
Addresses
Primary practice location
13970 Ells Way
Redding, CA 96003-8930
Mailing address
1670 Market St Ste 268
Redding, CA 96001-1046
Phone (530) 605-3223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCSW1119180 | Other | CA | BOARD OF BEHAVIORAL SCIENCES |
| ASW36658 | Other | CA | ASW36658 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW36658 | CA | MD | Clinical Social Worker |
| LCSW119180 | CA | MD | Clinical Social Worker |
| 119180 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill Country Community Clinic | Current | Accepting new patients | |
| Hill Country Community Clinic | Current | Accepting new patients | |
| Hill Country Community Clinic | Current | Accepting new patients | |
| Hill Country Community Clinic | Past | Accepting new patients | |
| Marvin Behavioral Health Ma PC | Clinical | Past | Accepting new patients |
| His Ideas, Inc | Past | Accepting new patients |
Locations
1401 Gold St
Redding, CA 96001
Phone (530) 238-7133
29632 E Highway 299
Round Mtn, CA 96084
Phone (530) 337-5750
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Round Mountain, CA
- NPI 1407914260
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1568338218
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1689114043
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1457844318
-
- Community/Behavioral Health Agency
- Red Bluff, CA
- NPI 1568641470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723939200000",
"number": "1295129088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 MARKET ST STE 268",
"city": "REDDING",
"state": "CA",
"postal_code": "960011046",
"telephone_number": "530-605-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13970 ELLS WAY",
"city": "REDDING",
"state": "CA",
"postal_code": "960038930",
"telephone_number": "530-605-3223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "HEATHER",
"credential": "LCSW119180",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-19",
"last_updated": "2024-08-18",
"certification_date": "2024-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW36658",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW119180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES",
"identifier": "LCSW1119180",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASW36658",
"identifier": "ASW36658",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.