Individual provider Active NPI

Paul David Goll Jr., MSW LCSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1508096033
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006770 Issued in NC
Practice address
1 Oak PLZ
Suite 206
Asheville, NC 28801-3008
Phone
(828) 252-2501
Fax
(828) 252-2701
NPI assigned
Jul 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW016573 PA
Clinical Social Worker 1041C0700X C006770 NC Primary

Addresses

Primary practice location

1 Oak PLZ
Suite 206
Asheville, NC 28801-3008

Mailing address

4 Crestbrook Dr
Arden, NC 28704-2614
Phone (828) 582-2279

Other identifiers 1

IdentifierTypeStateIssuer
6007580MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paulgolllcsw@Direct.msj.org

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

LicenseStateTypeSpecialty
C006770NCMDClinical Social Worker
CW016573PAMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: paulgolllcsw@direct.msj.org

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1508096033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CRESTBROOK DR",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287042614",
            "telephone_number": "828-582-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OAK PLZ",
            "address_2": "SUITE 206",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013008",
            "telephone_number": "828-252-2501",
            "fax_number": "828-252-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLL",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-17",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016573",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007580",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paulgolllcsw@Direct.msj.org",
            "affiliation": "N",
            "address_1": "1 Oak Plz",
            "address_2": "SUITE 206",
            "city": "Asheville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "288013008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.