Provider Demographics
NPI:1720174279
Name:GATES, APRIL (LICSW)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:GATES
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 CATHEDRAL AVE NW
Mailing Address - Street 2:#419B
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-5249
Mailing Address - Country:US
Mailing Address - Phone:202-337-0407
Mailing Address - Fax:202-244-8855
Practice Address - Street 1:5100 WISCONSIN AVE NW
Practice Address - Street 2:SUITE 300
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4119
Practice Address - Country:US
Practice Address - Phone:202-244-8855
Practice Address - Fax:202-244-8856
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC30007431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical