Active NPI
Dorian Elizabeth Yates, LCSW
- Clinical Social Worker
- Jacksonville, FL
National Provider Identifier
1295588010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW19847
- Practice address
- 1850 Bayard PL Apt M5
Jacksonville, FL 32205-8825 - Phone
- (904) 412-4973
- Fax
- (833) 952-3870
- NPI assigned
- Apr 10, 2024
- 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 | SW19847 | FL | |
| Clinical Social Worker | 1041C0700X | SW19847 | FL | Primary |
Addresses
Primary practice location
1850 Bayard PL Apt M5
Jacksonville, FL 32205-8825
Mailing address
1850 Bayard PL Apt M5
Jacksonville, FL 32205-8825
Phone (904) 412-4973
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Lake Worth, FL 33461
Phone (323) 205-7088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Mental Health Specialty Group PA | Current | Accepting new patients |
Locations
2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411
Organizations & group practices 3
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": "1712707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1295588010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 BAYARD PL APT M5",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322058825",
"telephone_number": "904-412-4973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 BAYARD PL APT M5",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322058825",
"telephone_number": "904-412-4973",
"fax_number": "833-952-3870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "DORIAN",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-10",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "SW19847",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW19847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.