Alexa Marie Bates
Individual provider Active NPI Clinical Social Worker · Ada, MI
NPI 1003496373 · NPPES record last updated Apr 12, 2021
Key facts
- NPI
- 1003496373
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801108641 (MI)
- Practice address
- 9318 Clear Meadow Dr SE
Ada, MI 49301-8119 - Phone
- (616) 826-7938
- NPI assigned
- Apr 12, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801108641 | MI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801108641 | MI | Yes |
Addresses
Primary practice location
9318 Clear Meadow Dr SE
Ada, MI 49301-8119
Mailing address
9318 Clear Meadow Dr SE
Ada, MI 49301-8119
Phone (616) 826-7938
Other providers in Ada, MI
- Ashley Noe Therapy
- Jana Rene Baatenburg
- Lara Jean Baatenburg
- Jason E Baniukaitis
- Ashley Barcroft
- Amy Renae Bell
- Mary Kathryn Bennett
- Madison Victoria Berridge
- Bethany Sluiter Counseling, LLC Dba Grove Collaborative Counseling
- James Douglas Birmingham
All providers in Ada, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2021. 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.