Individual
NICOLE MARIE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1 NEW HAMPSHIRE AVE STE 125, PORTSMOUTH, NH 03801-2907
(207) 331-5132
(833) 664-2446
Mailing address
1 NEW HAMPSHIRE AVE STE 125, PORTSMOUTH, NH 03801-2907
(207) 331-5132
(833) 664-2446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2315
NH
1041C0700X
Clinical Social Worker
LC20834
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2315
LICSW
NH
01
—
LC20834
LICSW
ME
Enumeration date
01/08/2020
Last updated
03/27/2023
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