National Provider Identifier
Thaddeus Bates
Thaddeus Bates is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 255-2673.
Profile Overview
- NPI
- 1164018784
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- December 17, 2020
- Last Updated
- October 17, 2022
Practice Location
- 312 College Ave Ste A
- Ithaca, NY 14850-4700
Phone: (607) 255-2673
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1164018784
- Entity Type
- Individual
- Last Name
- Bates
- First Name
- Thaddeus
- Name Prefix
- Mr.
- Mailing Street Address
- 312 College Ave Ste A
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4700
- Mailing Country
- US
- Mailing Phone
- (607) 255-2673
- Practice Street Address
- 312 College Ave Ste A
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4700
- Practice Country
- US
- Practice Phone
- (607) 255-2673
- Enumeration Date
- December 17, 2020
- Last Updated
- October 17, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- October 17, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)