Mrs. Mary M Gates, LCSW
Social Worker, Clinical in West Cornwall, Connecticut
1073638292- Practice location
- 61 Surdan Mountain Road, West Cornwall, CT 06796-1011
- Phone
- 860-672-6773
- Fax
- 860-672-6773
- Last updated
- July 8, 2007
Mary May Gates is a Social Worker, Clinical based in West Cornwall, CT. Mary May Gates practices in West Cornwall, CT and has the professional credentials of LCSW. The NPI Number for Mary May Gates is 1073638292 and holds a License No. 005521 (CT). The current practice location address for Mary May Gates is 61 Surdan Mountain Road, West Cornwall, CT 06796-1011 and can be reached out via phone at 860-672-6773 and via fax at 860-672-6773.
Provider Profile Details
- NPI Number
- 1073638292
- Provider Name
- Mary May Gates
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 61 Surdan Mountain Road, West Cornwall, CT 06796-1011
- Phone Number
- 860-672-6773
- Fax Number
- 860-672-6773
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 20, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 61 Surdan Mountain Road
West Cornwall, CT 06796-1011 - City
- West Cornwall
- State
- Connecticut
- Zip
- 06796-1011
- Phone Number
- 860-672-6773
- Fax Number
- 860-672-6773
Provider Business Mailing Address Details
- Address
- 61 Surdan Mountain Road
West Cornwall, CT 06796-1011 - City
- West Cornwall
- State
- CT
- Zip
- 06796-1011
- Phone Number
- 860-672-6773
- Fax Number
- 860-672-6773
License Information
- License Number
- 005521
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near West Cornwall, CT
View all Social Worker, Clinical providers in West Cornwall →Frequently Asked Questions
What is the NPI number of Mrs. Mary M Gates, LCSW?
The NPI number of Mrs. Mary M Gates, LCSW is 1073638292. It was assigned on March 20, 2007 and is currently active in the NPPES registry.
What is the specialty of Mrs. Mary M Gates, LCSW?
Mrs. Mary M Gates, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 005521.
Where does Mrs. Mary M Gates, LCSW practice?
The practice location is 61 Surdan Mountain Road, West Cornwall, CT 06796-1011. The office can be reached at 860-672-6773 (phone) or 860-672-6773 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073638292 directly on the NPPES registry website.