Active NPI
Dawn Yates, MSW LSW
- Social Worker
- Michigan City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33009114A
- Practice address
- 100 Anchor Rd Ste 2
Michigan City, IN 46360-2802 - Phone
- (219) 608-8357
- Fax
- (833) 249-9175
- NPI assigned
- Feb 26, 2008
- Last updated
- Oct 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33009114A | IN | Primary |
| Social Worker | 104100000X |
Addresses
Primary practice location
100 Anchor Rd Ste 2
Michigan City, IN 46360-2802
Mailing address
100 Anchor Rd Ste 2
Michigan City, IN 46360-2802
Phone (219) 608-8357
Other practice location 1
52582 State Road 933 Ste 2
South Bend, IN 46637-3239
Phone (219) 608-8357
Other names 1
- Dawn Ortega
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33009114A | IN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Counseling LLC | Current | Accepting new patients | |
| Brighter Beginnings Counseling, LLC | Past | Accepting new patients |
Locations
100 Anchor Rd
Ste 2
Michigan City, IN 46360
Phone (219) 608-8357
52582 State Road 933
Ste 2
South Bend, IN 46637
Phone (219) 608-8357
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Michigan City, IN
- NPI 1629622212
-
- Mental Health Counselor
- Michigan City, IN
- NPI 1013373836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1013186782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ANCHOR RD STE 2",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463602802",
"telephone_number": "219-608-8357",
"fax_number": "833-249-9175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ANCHOR RD STE 2",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463602802",
"telephone_number": "219-608-8357",
"fax_number": "833-249-9175"
}
],
"practiceLocations": [
{
"address_1": "52582 State Road 933 Ste 2",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466373239",
"country_code": "US",
"telephone_number": "219-608-8357",
"fax_number": "833-249-9175",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YATES",
"first_name": "DAWN",
"credential": "MSW LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-26",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33009114A",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAWN",
"last_name": "ORTEGA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.