Individual provider Active NPI

Taylor C Bates, LCSW

  • Clinical Social Worker
  • Albion, NY
National Provider Identifier
1164029195
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097198 Issued in NY
Practice address
301 West Ave
Albion, NY 14411-1522
Phone
(315) 725-4635
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 097198 NY Primary
Social Worker 104100000X 110112 NY

Addresses

Primary practice location

301 West Ave
Albion, NY 14411-1522

Mailing address

301 West Ave
Albion, NY 14411-1522
Phone (315) 725-4635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240416003506 NY Practitioner - Clinical Social Worker 7810336377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Orchard Community Health Center, Inc. 41 clinicians

Practice addresses (Care Compare)

14014 State Route 31
Albion, NY 14411-9301
Phone (585) 599-6446

300 W Ave
Brockport, NY 14420-1118
Phone (716) 637-3905

301 W Ave
Albion, NY 14411-1522
Phone (585) 589-5613

317 W Ave
Albion, NY 14411-1522
Phone (585) 637-3905

362 S Main St
Albion, NY 14411-1603
Phone (585) 589-5613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110112NYMDSocial Worker
097198NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Orchard Community Health Center Inc CurrentSince Mar 10, 2024 Accepting new patients
Oak Orchard Community Health Center Inc. CurrentSince Mar 10, 2024 Accepting new patients

Locations

301 West Ave
Albion, NY 14411
Phone (585) 589-5613

300 West Ave
Brockport, NY 14420
Phone (585) 637-3905

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1164029195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WEST AVE",
            "city": "ALBION",
            "state": "NY",
            "postal_code": "144111522",
            "telephone_number": "315-725-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WEST AVE",
            "city": "ALBION",
            "state": "NY",
            "postal_code": "144111522",
            "telephone_number": "315-725-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "TAYLOR",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097198",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "110112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albion, NY

Sources for this page

Verify at the official NPI Registry.