MEDICARE: JOSHUA L. BATES MSW

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
1	1041C0700X	Clinical Social Worker	116957	MA

General Provider Information

NPI Number	:	1265668990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA L. BATES MSW

Provider Business Mailing Address
First Line	:	52 RIDGEVIEW DR
Second Line	:
City	:	FEEDING HILLS
State	:	MA
Zip	:	01030-1120
Country	:	US
Telephone Number	:	413-464-4879
Fax Number	:

Provider Business Practice Location Address
First Line	:	52 RIDGEVIEW DR
Second Line	:
City	:	FEEDING HILLS
State	:	MA
Zip	:	01030-1120
Country	:	US
Telephone Number	:	413-464-4879
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2009
Last Update Date	:	09/18/2018

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