Provider Demographics
NPI:1174694020
Name:BATES, BARBARA ANN (LCSW)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:BATES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107A LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-3072
Mailing Address - Country:US
Mailing Address - Phone:615-791-8020
Mailing Address - Fax:615-599-3254
Practice Address - Street 1:1107A LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-3072
Practice Address - Country:US
Practice Address - Phone:615-791-8020
Practice Address - Fax:615-599-3254
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000043801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical