National Provider Identifier
Chet Gates-Lupton, LCSW
Chet Gates-Lupton, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 273-7494.
Profile Overview
- NPI
- 1215196118
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- June 05, 2008
- Last Updated
- September 21, 2015
Practice Location
- 127 W State St
- Ithaca, NY 14850-5474
Phone: (607) 273-7494
Mailing Address
- 127 W. State St.
- Ithaca, NY 14850-5474
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1215196118
- Entity Type
- Individual
- Last Name
- Gates-Lupton
- First Name
- Chet
- Name Prefix
- Mr.
- Credential
- LCSW
- Mailing Street Address
- 127 W. State St.
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5474
- Mailing Country
- US
- Mailing Phone
- (607) 273-7494
- Mailing Fax
- (607) 273-7484
- Practice Street Address
- 127 W State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5474
- Practice Country
- US
- Practice Phone
- (607) 273-7494
- Enumeration Date
- June 05, 2008
- Last Updated
- September 21, 2015
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 73-073515 (NY, Ny Dept. Of Health, Social Work License), 03676919 (NY)