Individual provider Active NPI

Dawn Yates, MSW LSW

  • Social Worker
  • Michigan City, IN
National Provider Identifier
1013186782
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33009114A Issued in IN
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
33009114AINMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Counseling LLC CurrentSince Oct 29, 2023 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.

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.

Verify at the official NPI Registry.