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

Mary M Gough, LCSW

Individual provider Clinical Social Worker · NPI 1528205994

Mary M Gough, LCSW is a Clinical Social Worker in Placerville, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

929 Spring St
Placerville, CA 95667-4543
Phone: (530) 621-6303
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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 93472 (CA)
Clinical Social Worker Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1528205994
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 7, 2009
Last updated in NPPESJuly 7, 2023
Certification dateJuly 7, 2023

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