Michelle Kathlyn Bates in Wake Forest - Clinical
Michelle Kathlyn Bates - NPI 1063474377
Michelle Kathlyn Bates is a Clinical in Wake Forest, North Carolina. Michelle Kathlyn Bates practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michelle Kathlyn Bates is 1063474377. The last update date is 2021-08-11.
Michelle Kathlyn Bates's current location address is 120 Capcom Ave Ste 101, Wake Forest, North Carolina. You can contact this provider via phone number 9197923967 and fax number 9197615026. The mailing address for Michelle Kathlyn Bates is 120 Capcom Ave Ste 101, Wake Forest, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Kathlyn Bates |
|---|---|
| Address | 120 Capcom Ave Ste 101, Wake Forest, North Carolina |
| Phone Number | 9197923967 |
| Fax Number | 9197615026 |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1063474377 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2021-08-11 |
Provider Mailing Address Detail
| Address | 120 Capcom Ave Ste 101 |
|---|---|
| City | Wake Forest |
| State | North Carolina (NC) |
| Post Code | 275876537 |
| Phone Number | 9197923967 |
| Fax Number | 9197615026 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C004357 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6106594 | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Michelle Kathlyn Bates?
The Michelle Kathlyn Bates has been issued the NPI (National Provider Identifier) 1063474377 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Michelle Kathlyn Bates is physically located?
The Michelle Kathlyn Bates is physically situated at the following address: 120 Capcom Ave Ste 101, Wake Forest, NC, 275876537.
What is Michelle Kathlyn Bates's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michelle Kathlyn Bates's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When was the Michelle Kathlyn Bates's 1063474377 issued?
The Michelle Kathlyn Bates's 1063474377 was issued on 2006-04-03.
As of what date was the information regarding Michelle Kathlyn Bates, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michelle Kathlyn Bates, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-08-11.
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