Provider Demographics
NPI:1346436326
Name:KATES, WILLIAM JOSEPH JR (CAGS LCSW)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:KATES
Suffix:JR
Gender:M
Credentials:CAGS LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:81 BAY AVE
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-5311
Mailing Address - Country:US
Mailing Address - Phone:781-837-5906
Mailing Address - Fax:617-325-5618
Practice Address - Street 1:81 BAY AVE
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-5311
Practice Address - Country:US
Practice Address - Phone:781-837-5906
Practice Address - Fax:617-325-5618
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2066151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical