Diane K Gates, LICSW
Individual provider Active NPI Clinical Social Worker · Franklin, VT
NPI 1619978046 · NPPES record last updated Feb 4, 2011
Key facts
- NPI
- 1619978046
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0890000989 (VT)
- Practice address
- 889 Dewing Rd
Franklin, VT 05457-9434 - Phone
- (802) 285-6511
- Fax
- (802) 285-6508
- NPI assigned
- Aug 9, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Richford Health Center Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0890000989 | VT | Yes |
Addresses
Primary practice location
889 Dewing Rd
Franklin, VT 05457-9434
Mailing address
889 Dewing Rd
Franklin, VT 05457-9434
Phone (802) 285-6511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 382112 | Other | VT | MVP |
| 030215982 | Other | VT | MAGELLAN |
| 1011242 | Medicaid | VT | |
| 00068481 | Other | VT | BCBS |
Other names
- Diane K Whitehead
Other providers in Franklin, VT
All providers in Franklin, VT · Clinical Social Worker in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.