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Mr. Tim Duane Gough Jr.

LCSW-C

Social Worker - Clinical

NPI: 1457085037North East, Maryland, 21901(667) 231-1269Male
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About Mr. Tim Duane Gough Jr.

Mr. Tim Duane Gough Jr., LCSW-C, is a male healthcare professional specializing in Social Worker - Clinical with a focus on Clinical, registered under National Provider Identifier (NPI) number 1457085037.

Mr. Tim Duane Gough Jr. received his medical education at OTHER, graduating in 2022. Their primary practice is located at 102 E CECIL AVE STE B, North East, Maryland 21901. Patients can reach the office at (667) 231-1269.

Mr. Tim Duane Gough Jr. is enrolled in Medicare and accepts Medicare patients, offers telehealth services for remote virtual consultations, is authorized to order and refer Medicare services. Mr. Tim Duane Gough Jr. has been NPI-registered since 2022.

Key Metrics

Practice Locations

1

Doctor Details

Identity & Credentials

NPI Number
1457085037
Entity Type
Individual
First Name
Tim
Last Name
Gough
Credential
LCSW-C
Gender
Male
Medical School
OTHER
Graduation Year
2022
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
102 E CECIL AVE STE B
City
North East
State
Maryland
ZIP
21901-4057
Country
United States
Phone
(667) 231-1269

Specialty & Taxonomy

Primary Specialty
Social Worker - Clinical
Classification
Social Worker
Specialization
Clinical
Taxonomy Code
1041C0700X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
102 E CECIL AVE STE B
City
NORTH EAST
State
MD
ZIP
219014057

Medicare Enrollment

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

Frequently Asked Questions

What is Mr. Tim Duane Gough Jr.'s NPI number?
Mr. Tim Duane Gough Jr.'s National Provider Identifier (NPI) is 1457085037. 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 Mr. Tim Duane Gough Jr. specialize in?
Mr. Tim Duane Gough Jr. specializes in Social Worker - Clinical. They received their medical education at OTHER (class of 2022).
Where is Mr. Tim Duane Gough Jr. located?
Mr. Tim Duane Gough Jr. practices at 102 E CECIL AVE STE B, North East, Maryland 21901. You can reach them by phone at (667) 231-1269.
Does Mr. Tim Duane Gough Jr. accept Medicare?
Yes, Mr. Tim Duane Gough Jr. is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Mr. Tim Duane Gough Jr. offer telehealth or virtual visits?
Yes, Mr. Tim Duane Gough Jr. offers telehealth services, which means you can schedule virtual consultations or appointments remotely via video or phone.

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 Mr. Tim Duane Gough Jr. is 1457085037.