1. Home
  2. Directory
  3. Maryland
  4. North East
  5. Social Worker
  6. NPI Profile

MR. TIM DUANE GOUGH JR. LCSW-C
NPI 1457085037
Social Worker - Clinical in North East, MD

Active since July 11, 2022PECOS EnrolledAccepts Medicare Assignment
102 E CECIL AVE STE B, NORTH EAST, MD 21901(667) 231-1269 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 19, 2025, Jun 20, 2025, Jul 11, 2022 (3 updates tracked since 2022).

About Mr. Tim Duane Gough Jr. Lcsw-c NPPES

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

MR. TIM DUANE GOUGH JR. LCSW-C (NPI 1457085037) is an individual clinical provider in North East, Maryland, licensed in Maryland (28745) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1457085037
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. TIM DUANE GOUGH JR.Credential: LCSW-C
Location Address102 E CECIL AVE STE BNorth East, MD 21901-4057
Mailing Address102 E Cecil Ave Ste BNorth East, MD 21901-4057 · (667) 231-1269
Phone(667) 231-1269
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 11, 2022
Last NPPES UpdateDecember 19, 20253 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1457085037 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 MD · 28745
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.
102 E CECIL AVE STE B, North East, MD 21901
Open in Google Maps ↗

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

Mr. Tim Duane Gough Jr. Lcsw-c 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 ID3375067416
PECOS Enrollment IDI20250421002428
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 21901 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 $57.99 – $175.57
Typical copayment $0.00 (range $14.49 – $43.89)
Most-billed visit code NA
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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 5

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

CLEARMIND MENTAL HEALTH THERAPY SERVICES LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
102 E CECIL AVE STE B
NORTH EAST, MD 21901
Cecil County (443) 350-5447
JANE MCKOWN AND ASSOCIATES LLC
Counselor (Mental Health)
102 E CECIL AVE STE B
NORTH EAST, MD 21901
Cecil County (443) 206-0237
SHARON SMITH ROGERS LMSW
Social Worker
102 E CECIL AVE STE B
NORTH EAST, MD 21901
Cecil County (443) 941-4433
THRIVING MINDS THERAPY, LLC
Social Worker (Clinical)
102 E CECIL AVE STE B
NORTH EAST, MD 21901
Cecil County (667) 231-1269
A CHANGE WOULD DO YOU GOOD, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
102 E CECIL AVE STE B
NORTH EAST, MD 21901
Cecil County (443) 945-9663

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 Tim Gough's NPI number?

The NPI number for Tim Gough is 1457085037. It was assigned to this individual provider in the NPPES registry on July 11, 2022.

Where is Tim Gough located?

Tim Gough practices at 102 E Cecil Ave Ste B, North East, MD 21901. The listed phone number is (667) 231-1269.

What is Tim Gough's specialty?

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

Is Tim Gough enrolled in Medicare?

Yes. Tim Gough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tim Gough was last updated on December 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.