IndividualActiveMedicare EnrolledCan Order/Refer

Amanda A Gough

MLSW

Social Worker

NPI: 1174172159Traverse City, Michigan, 49684(231) 715-8466Female

About Amanda A Gough

Amanda A Gough, MLSW, is a female healthcare professional specializing in Social Worker, registered under National Provider Identifier (NPI) number 1174172159. Amanda A Gough received her medical education at OTHER, graduating in 2019.

Their primary practice is located at 3298 VETERANS DR, Traverse City, Michigan 49684. Patients can reach the office at (231) 715-8466. Amanda A Gough is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.

Amanda A Gough has been NPI-registered since 2019.

Key Metrics

Practice Locations

Doctor Details

Identity & Credentials

NPI Number: 1174172159
Entity Type: Individual
First Name: Amanda
Last Name: Gough
Credential: MLSW
Gender: Female
Medical School: OTHER
Graduation Year: 2019
Sole Proprietor: Yes
Status: active

Primary Practice Location

Address: 3298 VETERANS DR
City: Traverse City
State: Michigan
ZIP: 49684-4725
Country: United States
Phone: (231) 715-8466
Fax: (231) 943-2263

Specialty & Taxonomy

Primary Specialty: Social Worker
Classification: Social Worker
Taxonomy Code: 104100000X

NPI Registration

Enumeration Date: Sep 11, 2019
Last Updated: Jul 5, 2024
Certification Date: Jul 5, 2024

Mailing Address

Address: 3298 VETERANS DR
City: TRAVERSE CITY
State: MI
ZIP: 496844725

Medicare Enrollment

Medicare Enrolled: Yes
Can Order/Refer: Yes
Telehealth: No
Excluded: No

Frequently Asked Questions

What is Amanda A Gough's NPI number?

Amanda A Gough's National Provider Identifier (NPI) is 1174172159. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.

What does Amanda A Gough specialize in?

Amanda A Gough specializes in Social Worker. They received their medical education at OTHER (class of 2019).

Where is Amanda A Gough located?

Amanda A Gough practices at 3298 VETERANS DR, Traverse City, Michigan 49684. You can reach them by phone at (231) 715-8466.

Does Amanda A Gough accept Medicare?

Yes, Amanda A Gough is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.

Does Amanda A Gough offer telehealth or virtual visits?

Amanda A Gough does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Amanda A Gough is 1174172159.