Bethany Yates, LCSW-C

Primary specialty

Social WorkerTaxonomy code 104100000X

License

23179 Issued in MD

Practice address

21095 Mattie LN Apt 308
Lexington Park, MD 20653-6228

Phone

(240) 434-8154

Fax

(240) 210-9238

NPI assigned

Jan 5, 2019

Last updated

Nov 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Worthy of Healing LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lexington Park, MD
  • NPI 1255083812
  NPD (past) Authorized official

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

{
    "created_epoch": "1546646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1255804902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21095 MATTIE LN APT 308",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206536228",
            "telephone_number": "240-434-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21095 MATTIE LN APT 308",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206536228",
            "telephone_number": "240-434-8154",
            "fax_number": "240-210-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "BETHANY",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-05",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "23179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Renee Willey, M.ED
• Jasmine Mariama Williams
• Taylor Nicole Williams, RDN, LDN
• Taylor Winston
• Worthy of Healing LLC
• Jiakun Yi, RD
• Birukitawit K Yirefu, DDS
• Sophia G Young, B.A., M.S.A., M.A.
• Your Best Life Home Health Care, LLC (Nurse Next Door, Southern Maryland)

• Social Worker in Lexington Park, MD
• Providers in Lexington Park, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.