Active NPI
Renee Carol Gates, MSW
- Social Worker
- Fredericksburg, VA
National Provider Identifier
1497395016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 11903 Main St
Fredericksburg, VA 22408-7326 - Phone
- (856) 912-0314
- NPI assigned
- Jan 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
11903 Main St
Fredericksburg, VA 22408-7326
Mailing address
13006 Dubin Dr
Spotsylvania, VA 22551-8012
Phone (540) 684-8962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hozho Behavioral Health and Life Coaching Services, PLLC | Current | Accepting new patients |
Locations
11903 Main St
Fredericksburg, VA 22408
Phone (540) 684-8962
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Fredericksburg, VA
- NPI 1811427800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578700800000",
"number": "1497395016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13006 DUBIN DR",
"city": "SPOTSYLVANIA",
"state": "VA",
"postal_code": "225518012",
"telephone_number": "540-684-8962",
"fax_number": "540-940-6522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11903 MAIN ST",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224087326",
"telephone_number": "856-912-0314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "RENEE",
"middle_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-11",
"last_updated": "2020-01-11",
"certification_date": "2020-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.