Active NPI
Miriam Sue Gold, LCSW
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1376773622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C001448
- Practice address
- 743 Weathergreen Dr
Raleigh, NC 27615-3224 - Phone
- (919) 673-6298
- NPI assigned
- Jul 21, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C001448 | NC | Primary |
Addresses
Primary practice location
743 Weathergreen Dr
Raleigh, NC 27615-3224
Mailing address
743 Weathergreen Dr
Raleigh, NC 27615-3224
Phone (919) 673-6298
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6007352 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C001448 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Services, LLC | Past | Accepting new patients | |
| Miriam Gold LCSW, PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Raleigh, NC
- NPI 1811443013
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1083938385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418774400000",
"number": "1376773622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 WEATHERGREEN DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153224",
"telephone_number": "919-673-6298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 WEATHERGREEN DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153224",
"telephone_number": "919-673-6298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "MIRIAM",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-21",
"last_updated": "2014-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C001448",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6007352",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.