Individual provider Active NPI

Joalla Gold, LCSW

  • Clinical Social Worker
  • Toluca Lake, CA
National Provider Identifier
1356417141
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS14673 Issued in CA
Practice address
10649 Riverside Dr
Toluca Lake, CA 91602-2341
Phone
(818) 789-5122
Fax
(818) 888-7089
NPI assigned
Nov 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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 LCS14673 CA Primary

Addresses

Primary practice location

10649 Riverside Dr
Toluca Lake, CA 91602-2341

Mailing address

10649 Riverside Dr
Toluca Lake, CA 91602-2341
Phone (818) 789-5122

Other practice location 1

5535 Balboa Blvd
104
Encino, CA 91316-1516
Phone (818) 789-5122

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230323001294 CA Practitioner - Clinical Social Worker 2163896614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10649 Riverside Dr
Toluca Lake, CA 91602-2341
Phone (818) 789-5122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS14673CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Joalla H Gold, Licensed Clinical Social Worker, Inc Clinical CurrentSince Jan 2, 2023 Accepting new patients

Locations

10649 Riverside Dr
Toluca Lake, CA 91602
Phone (818) 762-1137

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1356417141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10649 RIVERSIDE DR",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022341",
            "telephone_number": "818-789-5122",
            "fax_number": "818-888-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10649 RIVERSIDE DR",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022341",
            "telephone_number": "818-789-5122",
            "fax_number": "818-888-7089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5535 Balboa Blvd",
            "address_2": "104",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913161516",
            "country_code": "US",
            "telephone_number": "818-789-5122",
            "fax_number": "818-342-9814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLD",
        "first_name": "JOALLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-26",
        "last_updated": "2021-04-14",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS14673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toluca Lake, CA

Sources for this page

Verify at the official NPI Registry.