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MERCEDES GOUGH
NPI 1073146700
Social Worker - Clinical in Detroit, MI

Active since February 21, 2020
882 OAKMAN BLVD, DETROIT, MI 48238(313) 961-4890 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2023, Feb 21, 2020 (2 updates tracked since 2020).

About Mercedes Gough NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERCEDES GOUGH (NPI 1073146700) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6851110114) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1073146700
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMERCEDES GOUGH
Location Address882 OAKMAN BLVDDetroit, MI 48238-3710
Mailing Address18241 Lister AveEastpointe, MI 48021-2714 · (248) 520-4696
Phone(313) 961-4890
Sole ProprietorNo
Enumeration DateFebruary 21, 2020
Last NPPES UpdateDecember 8, 20232 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
✔ NPI 1073146700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6851110114
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
882 OAKMAN BLVD, Detroit, MI 48238
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARION RENEA-YVONNE CANTY LLMSW
Social Worker (Clinical)
882 OAKMAN BLVD
DETROIT, MI 48238
Wayne County (313) 961-4890
COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
882 OAKMAN BLVD
DETROIT, MI 48238
Wayne County (313) 849-3920
JAMIE WALLER
Case Manager/Care Coordinator
882 OAKMAN BLVD
DETROIT, MI 48238
Wayne County (248) 974-2363
MS. DENISE IHENTUGE I PEER SPECIALIST
Peer Specialist
882 OAKMAN BLVD
DETROIT, MI 48238
Wayne County (313) 967-5320
LATOYA LASHAY BROWN
Case Manager/Care Coordinator
882 OAKMAN BLVD
DETROIT, MI 48238
Wayne County (313) 961-4890
QUIANNA SIMS
Community Health Worker
882 OAKMAN BLVD
DETROIT, MI 48238
Wayne County (313) 961-4890
DESTINY MAHONE
Social Worker
882 OAKMAN BLVD
DETROIT, MI 48238
Wayne County (313) 883-7264
MR. CHARLES SONNY PHIPPS SR. LMSW
Social Worker (Clinical)
882 OAKMAN BLVD
DETROIT, MI 48238
Wayne County (313) 961-7990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mercedes Gough's NPI number?

The NPI number for Mercedes Gough is 1073146700. It was assigned to this individual provider in the NPPES registry on February 21, 2020.

Where is Mercedes Gough located?

Mercedes Gough practices at 882 Oakman Blvd, Detroit, MI 48238. The listed phone number is (313) 961-4890.

What is Mercedes Gough's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mercedes Gough was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.