Individual provider · Type 1 NPI

Tim Duane Gough Jr., LCSW-C

Clinical Social Worker · North East, MD

NPI number 1457085037 Active

Practice location

102 E Cecil Ave Ste B
North East, MD 21901-4057

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X28745 (MD)

Clinical Social Worker: 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 interpers…

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About NPI 1457085037

Tim Duane Gough Jr., LCSW-C's National Provider Identifier is 1457085037, issued on Jul 11, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in North East, MD. The record was last updated on Dec 19, 2025.