Mr. Thaddeus Bates
Mr. Thaddeus Bates is a Social Worker in Ithaca, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
312 College Ave Ste AIthaca, NY 14850-4700
Phone: (607) 255-2673
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 094314 (NY) |
|---|---|
| Social Worker | Taxonomy 104100000X · Licence 104808 (NY) |
Record details
| NPI number | 1164018784 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 17, 2020 |
| Last updated in NPPES | October 17, 2022 |
| Certification date | October 17, 2022 |
| Mailing address | 312 College Ave Ste A, Ithaca, NY 14850-4700 |
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