Organization Active NPI

Winston Gold LLC

  • Clinical Social Worker
  • Ardsley, NY
National Provider Identifier
1356609283
Registry record updated Apr 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R24523 Issued in NY
Legal business name
WINSTON GOLD LLC
Practice address
108 Crestview PL
Ardsley, NY 10502-1604
Phone
(914) 674-0409
Fax
(914) 674-8458
NPI assigned
Apr 29, 2012
Last updated
Apr 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Larrie Gold, LCSWNPI 1306905070
Title
Owner
Phone
(914) 674-0409

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X R24523 NY Primary

Addresses

Primary practice location

108 Crestview PL
Ardsley, NY 10502-1604

Mailing address

108 Crestview PL
Ardsley, NY 10502-1604
Phone (914) 674-0409

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335657600000",
    "number": "1356609283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CRESTVIEW PL",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021604",
            "telephone_number": "914-674-0409",
            "fax_number": "914-674-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CRESTVIEW PL",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021604",
            "telephone_number": "914-674-0409",
            "fax_number": "914-674-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSTON GOLD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-29",
        "last_updated": "2012-04-29",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "LARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-674-0409",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R24523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardsley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.