Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIM DUANE GOUGH JR., LCSW-C
Active Sole ProprietorMR. TIM DUANE GOUGH JR., LCSW-C is a Clinical Social Worker healthcare provider located in NORTH EAST, Maryland. NPI 1457085037 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · NORTH EAST, MD
Registration Details
- NPI Number
- 1457085037
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2022 (3.9090167592198 yrs)
- Last Updated
- Dec 19, 2025
- License
-
28745 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
102 E CECIL AVE STE BNORTH EAST, MD, 219014057Browse MD providers · Browse ZIP 21901
- Phone
- 6672311269
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in NORTH EAST, MD
| Name | Credential | NPI |
|---|---|---|
| MS. CAROLYN MARIE WELLS | LCPC | 1730252677 |
| VIRGINIA R LANCZKOWSKI | — | 1104962687 |
| CONSTANCE MULLER-THYM | LCSW-C | 1215103254 |
| SHANNON LYNN BAUBLITZ-SMITH | LCSW-C | 1811261720 |
| MRS. KELLY ANN MARIE GRANDE | LCSW-C | 1942645163 |
| DANIELLE CARPENTER | LCSW-C | 1831633833 |
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.