Healthcare Provider Details

I. General information

NPI: 1457304610
Provider Name (Legal Business Name): DAVID R. HOUGH MSW, ACSW, DCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 NORTH OLD WOODWARD AVE SUITE 204
BIRMINGHAM MI
48009-5392
US

IV. Provider business mailing address

280 NORTH OLD WOODWARD AVE SUITE 204
BIRMINGHAM MI
48009-5392
US

V. Phone/Fax

Practice location:
  • Phone: 248-644-8783
  • Fax: 248-644-3322
Mailing address:
  • Phone: 248-644-8783
  • Fax: 248-644-3322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801020290
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4101005400
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: