Amanda Gough, MLSW
NPI 1174172159 · Clinical Social Worker · Traverse City, MI
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amanda Gough, MLSW is a Clinical Social Worker provider in Traverse City, MI (NPI 1174172159).
Provider details
- NPI number
- 1174172159
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MLSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6801105682 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-09-11
- Last updated
- 2026-02-16
- Certified
- 2026-02-16
Frequently asked questions
- What is Amanda Gough's NPI number?
- Amanda Gough's National Provider Identifier (NPI) is 1174172159, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amanda Gough's specialty?
- Amanda Gough is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Amanda Gough located?
- Amanda Gough's practice location on file with NPPES is 3298 Veterans Dr, Traverse City, MI 49684-4725.
- What is Amanda Gough's phone number?
- The practice phone number listed in the NPPES registry for Amanda Gough is (231) 715-8466.
- Does Amanda Gough accept Medicare?
- Amanda Gough is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Amanda Gough's NPI active?
- Yes — Amanda Gough's NPI (1174172159) is active in the NPPES registry as of the last update on 2026-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.