MEDICARE: MR. DOUGLAS HERMAN GOKE LICSW

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	807	MN

General Provider Information

NPI Number	:	1568746469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DOUGLAS HERMAN GOKE LICSW

Provider Business Mailing Address
First Line	:	1500 WELLINGTON CRES
Second Line	:
City	:	FARIBAULT
State	:	MN
Zip	:	55021-6731
Country	:	US
Telephone Number	:	507-333-5708
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 WELLINGTON CRES
Second Line	:
City	:	FARIBAULT
State	:	MN
Zip	:	55021-6731
Country	:	US
Telephone Number	:	507-333-5708
Fax Number	:

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

Provider Enumeration Date	:	10/11/2011
Last Update Date	:	10/11/2011

Similar Medicare Providers

1013096437 — B C SHOES INC.
Practice Location Address:

128 CENTRAL AVE N
FARIBAULT, MN
55021-5298

Practice Phone: 507-334-7774
Practice Fax: 507-334-9256

1679429674 — SAFWAAN DAGANE
Practice Location Address:

201 LYNDALE AVE S STE A
FARIBAULT, MN
55021-5799

Practice Phone: 612-432-7507
Practice Fax:

1649450404 — MRS. SARAH JULIA NELSON M.S.
Practice Location Address:

1101 LINDEN LN
FARIBAULT, MN
55021-6400

Practice Phone: 507-332-4465
Practice Fax:

1437356250 — MS. SHARON JEAN ABBOTT
Practice Location Address:

211 3RD ST NW
FARIBAULT, MN
55021-5145

Practice Phone: 507-334-1500
Practice Fax:

1508534751 — DANIEL MOEGI APRN, CNP
Practice Location Address:

400 4TH ST NW STE A
FARIBAULT, MN
55021-5090

Practice Phone: 507-384-6830
Practice Fax: 651-431-7757

1629071675 — DR. ALEX SNEIDERS M.D.
Practice Location Address:

300 STATE AVE
FARIBAULT, MN
55021-6319

Practice Phone: 507-333-3200
Practice Fax: 507-333-3211

Directions to “ MR. DOUGLAS HERMAN GOKE LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.