Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA A GOUGH, MLSW
Active Sole ProprietorAMANDA A GOUGH, MLSW is a Clinical Social Worker healthcare provider located in TRAVERSE CITY, Michigan. NPI 1174172159 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · TRAVERSE CITY, MI
Registration Details
- NPI Number
- 1174172159
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 11, 2019 (6.9349098466018 yrs)
- Last Updated
- Feb 16, 2026
- License
-
6801105682 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3298 VETERANS DRTRAVERSE CITY, MI, 496844725Browse MI providers · Browse ZIP 49684
- Phone
- 2317158466
- Fax
- 2319432263
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in TRAVERSE CITY, MI
| Name | Credential | NPI |
|---|---|---|
| MS. JUDY HAYES DALY | MSW, ACSW | 1679547806 |
| MR. GARY EDWARD STAUFFER | M.S.W., A.C.S.W. | 1801802822 |
| MR. MARSHALL B. CRONICAN-WALKER | L.M.S.W. | 1861505810 |
| MICHELLE ROSE CLEMENS-GRAY | MSW | 1669586277 |
| MR. ROBERT EARL CENCI | — | 1972619278 |
| MS. ALLISON B HEEREN | MSW | 1245341890 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.