Natalie Gough, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005803 Issued in MO

Practice address

6900 Fieldstone Farms Dr
O Fallon, MO 63368-8094

Phone

(636) 300-8775

NPI assigned

Nov 14, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258156800000",
    "number": "1265769020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 FIELDSTONE FARMS DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688094",
            "telephone_number": "636-300-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 FIELDSTONE FARMS DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688094",
            "telephone_number": "636-300-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUGH",
        "first_name": "NATALIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-14",
        "last_updated": "2009-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "005803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesa A Goodman, P.T.
• Matthew David Goodwin, D.C.
• Eric Anthony Gordon
• Samantha Gorham
• Ranjita Gosain
• Bradly Gould, DC
• Sara C Gozdecki, FNP-C
• John Ellington Graham III, MA, MSED
• Tina Kathleen Graham, PLPC
• Grant Ventures LLC

• Clinical Social Worker in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.