Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tisha Mae Bates, LSW, MSW

Individual provider Clinical Social Worker · NPI 1770146821

Tisha Mae Bates, LSW, MSW is a Clinical Social Worker in Fairborn, Ohio. Licensed in Ohio. Registered with an NPI since 2019.

Licensed in
OH
In the registry since
2019
Specialties on file
2
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

188 W Hebble Ave
Fairborn, OH 45324-4960
Phone: (937) 754-5911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X · Licence S.1802464 (OH)

Record details

NPI number1770146821
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW , MSW
Sole proprietorNo
NPI enumeratedApril 15, 2019
Last updated in NPPESFebruary 8, 2022
Certification dateFebruary 8, 2022
Mailing addressPo Box 55, Walton, KY 41094-0055

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