Provider Demographics
NPI:1750115077
Name:BATES, HANNAH (LMSW)
Entity type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:
Last Name:BATES
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:KEYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1051 ARLENE AVE
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48340-2904
Mailing Address - Country:US
Mailing Address - Phone:248-724-7600
Mailing Address - Fax:
Practice Address - Street 1:1535 BREWSTER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48306-3817
Practice Address - Country:US
Practice Address - Phone:248-726-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-28
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511169721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical