Organization Active NPI

Laura Gold, Licsw PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Northport, AL
National Provider Identifier
1790555241
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LAURA GOLD, LICSW PLLC
Practice address
700 Energy Center Blvd Ste 402
Northport, AL 35473-2793
Phone
(205) 708-6440
NPI assigned
Jan 5, 2024
Last updated
Jan 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Ms. Laura Gold, LICSW, LCSWNPI 1649426487
Title
Therapist, Owner
Phone
(205) 708-6440

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

700 Energy Center Blvd Ste 402
Northport, AL 35473-2793

Mailing address

1130 University Blvd Ste B9
Tuscaloosa, AL 35401-0328
Phone (415) 307-3534

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1790555241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 UNIVERSITY BLVD STE B9",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354010328",
            "telephone_number": "415-307-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ENERGY CENTER BLVD STE 402",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354732793",
            "telephone_number": "205-708-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA GOLD, LICSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "THERAPIST, OWNER",
        "authorized_official_telephone_number": "205-708-6440",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.