Joalla H Gold, Licensed Clinical Social Worker, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JOALLA H GOLD, LICENSED CLINICAL SOCIAL WORKER, INC

Practice address

10649 Riverside Dr
Toluca Lake, CA 91602-2341

Phone

(818) 789-5122

Fax

(818) 888-7089

NPI assigned

Jan 4, 2023

Last updated

Jan 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joalla H Gold, LCSWNPI 1356417141

Title

President

Phone

(818) 645-5195

Specialties & licenses 1

Addresses

Other names 1

• JoAlla H Gold, LCSW Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Joalla Gold, LCSW

  • Clinical Social Worker
  • Toluca Lake, CA
  • NPI 1356417141
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1902519051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5239 TENDILLA AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641830",
            "telephone_number": "818-645-5195",
            "fax_number": "818-888-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10649 RIVERSIDE DR",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022341",
            "telephone_number": "818-789-5122",
            "fax_number": "818-888-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOALLA H GOLD, LICENSED CLINICAL SOCIAL WORKER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "JOALLA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-645-5195",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JoAlla H Gold, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Social Worker in Toluca Lake, CA
• Providers in Toluca Lake, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.