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MR. THADDEUS BATES
NPI 1164018784
Social Worker - Clinical in Ithaca, NY

Active since December 17, 2020
312 COLLEGE AVE STE A, ITHACA, NY 14850(607) 255-2673 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2022, Dec 17, 2020 (2 updates tracked since 2020).

About Mr. Thaddeus Bates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THADDEUS BATES (NPI 1164018784) is an individual clinical provider in Ithaca, New York, licensed in New York (094314) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1164018784
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. THADDEUS BATES
Location Address312 COLLEGE AVE STE AIthaca, NY 14850-4700
Mailing Address312 College Ave Ste AIthaca, NY 14850-4700 · (607) 255-2673
Phone(607) 255-2673
Sole ProprietorYes
Enumeration DateDecember 17, 2020
Last NPPES UpdateOctober 17, 20222 updates tracked since enumeration
NPPES CertifiedOctober 17, 2022
✔ NPI 1164018784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 094314
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 104808 (NY)
312 COLLEGE AVE STE A, Ithaca, NY 14850
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thaddeus Bates's NPI number?

The NPI number for Thaddeus Bates is 1164018784. It was assigned to this individual provider in the NPPES registry on December 17, 2020.

Where is Thaddeus Bates located?

Thaddeus Bates practices at 312 College Ave Ste A, Ithaca, NY 14850. The listed phone number is (607) 255-2673.

What is Thaddeus Bates's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Thaddeus Bates was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.