Mr. Tim Duane Gough Jr., LCSW-C
Mr. Tim Duane Gough Jr., LCSW-C is a Clinical Social Worker in North East, Maryland. Qualified in 2022, 4 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Maryland.
- Years since qualifying
- 4
- Licensed in
- MD
- In the registry since
- 2022
Practice location Address checks out
102 E Cecil Ave Ste BNorth East, MD 21901-4057
Phone: (667) 231-1269
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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 28745 (MD) |
|---|
Record details
| NPI number | 1457085037 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSW-C |
| Sole proprietor | Yes |
| NPI enumerated | July 11, 2022 |
| Last updated in NPPES | December 19, 2025 |
| Certification date | December 19, 2025 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
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Philip T Constantino, LCSW-C
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