Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda A Gough, MLSW

Individual provider Clinical Social Worker · NPI 1174172159

Amanda A Gough, MLSW is a Clinical Social Worker in Traverse City, Michigan. Qualified in 2019, 7 years ago. Practices with Adaptive Counseling and Case Management LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
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Practice location Address checks out

3298 Veterans Dr
Traverse City, MI 49684-4725
Phone: (231) 715-8466
Fax: (231) 943-2263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801105682 (MI)

Record details

NPI number1174172159
Entity typeIndividual (Type 1)
GenderFemale
Credentials MLSW
Sole proprietorYes
NPI enumeratedSeptember 11, 2019
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Adaptive Counseling And Case Management Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Traverse City