Herman John Gates | Milwaukee, WI • PECOS Search

Herman John Gates

Social Worker

Behavioral Health & Social Service Providers

5000 W National Ave, Milwaukee, WI 53295-0001

(414) 384-2000 (414) 962-0414

PECOS Enrollment

Based on the most recent information from CMS, provider Herman John Gates does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1063431831
Provider Type
Individual
Full Name
Gates, Herman John
Title
Mr.
Credential
MSW , LCSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
7/19/2006
Last Updated
7/8/2007

Contact Information

Practice Location

5000 W National Ave, Milwaukee, WI 53295-0001

Unlisted Fax

Mailing Location

5112 N Santa Monica Blvd, Whitefish Bay, WI 53217-5536

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 1520-123 Wisconsin