Active NPI
Laura Gold, Licsw PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Northport, AL
National Provider Identifier
1790555241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Laura Gold, LICSW, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Cary, NC
- NPI 1649426487
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.