Provider / Organization | NPI | Date Certified |
---|---|---|
LEAH GOLD | 1609402593 | 2023-03-12 |
Leah Gold is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1609402593. Registration indicates Leah Gold is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
Entity Type | Individual |
Provider Name | Leah Gold LMSW |
Practice Office Address | 301 N BROOM ST FL 2 MADISON, WI US |
Practice Office Telephone | 6083194390 |
Practice Office Fax | 6087293434 |
Mailing Address | 301 N BROOM ST FL 2 MADISON, WI 537035207 US |
Business Telephone | 6083194390 |
Business Fax | 6087293434 |
Code | Practice | License No State |
---|---|---|
1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 9482-123
WI |