Individual provider Active NPI

Stacie Gold, LCSW-C

  • Clinical Social Worker
  • Arnold, MD
National Provider Identifier
1710012786
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13338 Issued in MD
Practice address
1517 Ritchie Hwy
Arnold, MD 21012-2461
Phone
(410) 626-7800
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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 13338 MD Primary

Addresses

Primary practice location

1517 Ritchie Hwy
Arnold, MD 21012-2461

Mailing address

1517 Ritchie Hwy
Arnold, MD 21012-2461
Phone (410) 626-7800

Other identifiers 1

IdentifierTypeStateIssuer
212150600MedicaidMD

Other names 1

  • Stacie Frankel Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13338MDMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ywca of Annapolis & Anne Arundel County Clinical Current Accepting new patients

Locations

1517 Ritchie Hwy
Arnold, MD 21012
Phone (410) 626-7800

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1710012786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 RITCHIE HWY",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122461",
            "telephone_number": "410-626-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 RITCHIE HWY",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122461",
            "telephone_number": "410-626-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "STACIE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212150600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIE",
            "last_name": "FRANKEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arnold, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.