Provider Demographics
NPI:1972518827
Name:GOLD, DEBORAH (LCSW, MSW)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:GOLD
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2363 N HILL FIELD RD STE 6
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-6958
Mailing Address - Country:US
Mailing Address - Phone:801-726-8819
Mailing Address - Fax:801-336-1774
Practice Address - Street 1:2363 N HILL FIELD RD STE 6
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-6958
Practice Address - Country:US
Practice Address - Phone:801-726-8819
Practice Address - Fax:801-336-1774
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-29
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5421705-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical