IndividualActive
Michael Gush, LCSW
NPI 1184215204 · Clinical Social Worker · Fairview, OR
Provider details
- NPI number
- 1184215204
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- L10299 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1800 Ne Market Dr
Fairview, OR 97024-7000
Phone: (503) 220-8262
Street-level locationGet directions
Mailing address
23937 Sw Red Fern Dr
Sherwood, OR 97140-6283
Registry dates
- Enumerated
- 2021-02-01
- Last updated
- 2021-02-04
- Certified
- 2021-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.