MEDICARE: MR. DAVID R. HOUGH MSW, ACSW, DCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6801020290	MI
2	106H00000X	Marriage & Family Therapist	4101005400	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4101005400	OTHER	MI	LIC. MARRIAGE & FAMILY TH
2	6801020290	OTHER	MI	MASTER SW CLIN/MACRO LIC.

General Provider Information

NPI Number	:	1457304610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID R. HOUGH MSW, ACSW, DCSW

Provider Business Mailing Address
First Line	:	280 NORTH OLD WOODWARD AVE
Second Line	:	SUITE 204
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-5392
Country	:	US
Telephone Number	:	248-644-8783
Fax Number	:	248-644-3322

Provider Business Practice Location Address
First Line	:	280 NORTH OLD WOODWARD AVE
Second Line	:	SUITE 204
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-5392
Country	:	US
Telephone Number	:	248-644-8783
Fax Number	:	248-644-3322

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	09/11/2025

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Directions to “ MR. DAVID R. HOUGH MSW, ACSW, DCSW” Practice Location

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