Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jay Ezra Gold, LICSW, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1871316547

Jay Ezra Gold, LICSW, LADC is a Clinical Social Worker in Edina, Minnesota. Qualified in 2022, 4 years ago. Practices with Cabot Psychological Services, PLLC, a 13-clinician group and offers telehealth. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2024
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

7301 Ohms Ln Ste 450
Edina, MN 55439-2339
Phone: (612) 605-8820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 13202 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 306430 (MN)

Record details

NPI number1871316547
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LICSW , LADC
Sole proprietorNo
NPI enumeratedNovember 1, 2024
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cabot Psychological Services, Pllc — 13 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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