NPI 1245512813 · live from the CMS NPI Registry
Terry Bates
Social Worker, Clinical in Ft Wainwright, AK. National Provider Identifier 1245512813, active.
NPI record
| NPI | 1245512813 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1060 Gaffney Rd #7440, Ft Wainwright, AK 99703 |
| Practice phone | 907-361-5603 |
| Enumerated | September 9, 2011 |
| Last updated | September 9, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Social Worker, Clinical primary | 1041C0700X | 361998-3501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.