Provider Demographics
NPI:1184968364
Name:BATES, ARTHEA LATOYA (MSSA, LCSW-C)
Entity type:Individual
Prefix:
First Name:ARTHEA
Middle Name:LATOYA
Last Name:BATES
Suffix:
Gender:F
Credentials:MSSA, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7709 ROTHERHAM DR
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1470
Mailing Address - Country:US
Mailing Address - Phone:301-775-1741
Mailing Address - Fax:
Practice Address - Street 1:7709 ROTHERHAM DR
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-1470
Practice Address - Country:US
Practice Address - Phone:301-775-1741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-12
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD130611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical