MR. ETHAN GATES LICSW
NPI 1356209027
Social Worker - Clinical in Dothan, AL

Active since January 12, 2026
212 W TROY ST STE B, DOTHAN, AL 36303(205) 578-8058 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Ethan Gates Licsw NPPES

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

MR. ETHAN GATES LICSW (NPI 1356209027) is an individual clinical provider in Dothan, Alabama, licensed in Alabama (6615C) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1356209027
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. ETHAN GATESCredential: LICSW
Location Address212 W TROY ST STE BDothan, AL 36303-4455
Mailing Address212 W Troy St Ste BDothan, AL 36303-4455
Sole ProprietorYes
Enumeration DateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
NPI 1356209027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in AL · 6615C
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.
212 W TROY ST STE B, Dothan, AL 36303

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
212 W TROY ST STE B
DOTHAN, AL 36303
Nurse Practitioner (Family)
212 W TROY ST STE B
DOTHAN, AL 36303
Behavior Analyst
212 W TROY ST STE B
DOTHAN, AL 36303
Internal Medicine
212 W TROY ST STE B
DOTHAN, AL 36303
Behavior Analyst
212 W TROY ST STE B
DOTHAN, AL 36303
Psychologist
212 W TROY ST STE B
DOTHAN, AL 36303
Durable Medical Equipment & Medical Supplies
212 W TROY ST STE B
DOTHAN, AL 36303
Behavior Analyst
212 W TROY ST STE B
DOTHAN, AL 36303

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 Ethan Gates's NPI number?

The NPI number for Ethan Gates is 1356209027. It was assigned to this individual provider in the NPPES registry on January 12, 2026.

Where is Ethan Gates located?

Ethan Gates practices at 212 W Troy St Ste B, Dothan, AL 36303. The listed phone number is (205) 578-8058.

What is Ethan Gates'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 Ethan Gates was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.