Active NPI
Hasani Gough, LCSW
- Clinical Social Worker
- Oakland, CA
National Provider Identifier
1942374632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS15454
- Practice address
- 1501 Fruitvale Ave
Oakland, CA 94601-2322 - Phone
- (510) 535-6200
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS15454 | CA | Primary |
Addresses
Primary practice location
1501 Fruitvale Ave
Oakland, CA 94601-2322
Mailing address
1501 Fruitvale Ave
Oakland, CA 94601-2322
Phone (510) 535-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS15454 | CA | MD | Clinical Social Worker |
| 15454 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1942374632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 FRUITVALE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946012322",
"telephone_number": "510-535-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 FRUITVALE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946012322",
"telephone_number": "510-535-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOUGH",
"first_name": "HASANI",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS15454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.