Organization Active NPI

Miriam Gold LCSW, PLLC

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1811443013
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MIRIAM GOLD LCSW, PLLC
Practice address
4913 Professional CT
Suite 5
Raleigh, NC 27609-4913
Phone
(919) 638-3946
NPI assigned
Aug 28, 2016
Last updated
Aug 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Authorized official

Name
Ms. Miriam Sue Gold, MSW LCSWNPI 1376773622
Title
Owner/Therapist
Phone
(919) 638-3946

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

4913 Professional CT
Suite 5
Raleigh, NC 27609-4913

Mailing address

743 Weathergreen Dr
Raleigh, NC 27615-3224
Phone (919) 673-6298

National Provider Directory

National Provider Directory

Locations

4913 Professional Ct
Ste 5
Raleigh, NC 27609
Phone (919) 638-3946

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": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1811443013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 WEATHERGREEN DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153224",
            "telephone_number": "919-673-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 PROFESSIONAL CT",
            "address_2": "SUITE 5",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094913",
            "telephone_number": "919-638-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM GOLD LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "919-638-3946",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.