Provider Demographics
NPI:1528881232
Name:GATES, DAKOTA (MSW)
Entity type:Individual
Prefix:
First Name:DAKOTA
Middle Name:
Last Name:GATES
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5075 SIMMS PL
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-2001
Mailing Address - Country:US
Mailing Address - Phone:303-253-0756
Mailing Address - Fax:
Practice Address - Street 1:5075 SIMMS PL
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-2001
Practice Address - Country:US
Practice Address - Phone:303-253-0756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-02
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker