Provider Demographics
NPI:1497395016
Name:GATES, RENEE CAROL (MSW)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:CAROL
Last Name:GATES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13006 DUBIN DR
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22551-8012
Mailing Address - Country:US
Mailing Address - Phone:540-684-8962
Mailing Address - Fax:540-940-6522
Practice Address - Street 1:11903 MAIN ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-7326
Practice Address - Country:US
Practice Address - Phone:856-912-0314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-11
Last Update Date:2020-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker