Active NPI
Liza Gold
- Clinical Social Worker
- New York, NY
National Provider Identifier
1710372669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0870705
- Practice address
- 450 Lexington Ave FL 4
New York, NY 10017-3912 - Phone
- (610) 757-5550
- NPI assigned
- Mar 30, 2015
- Last updated
- Nov 2, 2018
- 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 | 0870705 | NY | Primary |
Addresses
Primary practice location
450 Lexington Ave FL 4
New York, NY 10017-3912
Mailing address
51 E 25TH St
Lower Level
New York, NY 10010-2945
Phone (610) 757-5550
Other practice location 1
51 E 25th St
Lower Level
New York, NY 10010-2945
Phone (610) 757-5550
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0870705 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541116800000",
"number": "1710372669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 E 25TH ST",
"address_2": "LOWER LEVEL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100102945",
"telephone_number": "610-757-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 LEXINGTON AVE FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100173912",
"telephone_number": "610-757-5550"
}
],
"practiceLocations": [
{
"address_1": "51 E 25th St",
"address_2": "Lower Level",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100102945",
"country_code": "US",
"telephone_number": "610-757-5550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLD",
"first_name": "LIZA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-30",
"last_updated": "2018-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "0870705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.