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NPI Code Detail

MEDICARE: NAOMI GATES LMSW

MEDICARE:   NAOMI  GATES  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2104100000XSocial Worker11865LA

General Provider Information

NPI Number : 1104365840
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAOMI GATES LMSW
Provider Business Mailing Address
First Line : P O BOX 7118
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71306
Country : US
Telephone Number : 318-484-6850
Fax Number : 318-484-6232
Provider Business Practice Location Address
First Line : 5411 COLISEUM BLVD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-3729
Country : US
Telephone Number : 318-794-4552
Fax Number : 318-484-6232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2017
Last Update Date : 04/18/2024

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Directions to “ NAOMI GATES LMSW” Practice Location

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