AMANDA A GOUGH MLSW
NPI 1174172159
Social Worker - Clinical in Traverse City, MI

Active since September 11, 2019PECOS EnrolledAccepts Medicare Assignment
3298 VETERANS DR, TRAVERSE CITY, MI 49684(231) 715-8466(231) 943-2263 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 5, 2024, Oct 1, 2019, Sep 11, 2019 (3 updates tracked since 2019).

About Amanda A Gough Mlsw NPPES

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

AMANDA A GOUGH MLSW (NPI 1174172159) is an individual clinical provider in Traverse City, Michigan, licensed in Michigan (6801105682) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1174172159
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA A GOUGHCredential: MLSW
Location Address3298 VETERANS DRTraverse City, MI 49684-4725
Mailing Address3298 Veterans DrTraverse City, MI 49684-4725 · (231) 715-8466 · Fax (231) 943-2263
Fax(231) 943-2263
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 11, 2019
Last NPPES UpdateFebruary 16, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2026
NPI 1174172159 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 · 6801105682
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.

3298 VETERANS DR, Traverse City, MI 49684

Other Identifiers 1

Medicaid1174172159MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda A Gough Mlsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456895200
PECOS Enrollment IDI20240703001527
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

Counselor (Professional)
3298 VETERANS DR
TRAVERSE CITY, MI 49684
Social Worker
3298 VETERANS DR
TRAVERSE CITY, MI 49684
Social Worker (Clinical)
3298 VETERANS DR
TRAVERSE CITY, MI 49684
Social Worker
3298 VETERANS DR
TRAVERSE CITY, MI 49684
Social Worker (Clinical)
3298 VETERANS DR
TRAVERSE CITY, MI 49684
Social Worker (Clinical)
3298 VETERANS DR
TRAVERSE CITY, MI 49684
Counselor (Mental Health)
3298 VETERANS DR
TRAVERSE CITY, MI 49684

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174172159, enumerated as an "individual" on September 11, 2019.

The provider is located at 3298 VETERANS DR TRAVERSE CITY, MI 49684 and the phone number is (231) 715-8466.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.