Active NPI
Tracee Lynn Bates
- Social Worker
- Detroit, MI
National Provider Identifier
1346052099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6803088640
- Practice address
- 19360 Renfrew Rd
Detroit, MI 48221-1836 - Phone
- (313) 580-0209
- NPI assigned
- Jan 21, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6803088640 | MI | Primary |
Addresses
Primary practice location
19360 Renfrew Rd
Detroit, MI 48221-1836
Mailing address
19360 Renfrew Rd
Detroit, MI 48221-1836
Phone (313) 580-0209
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 |
|---|---|---|---|
| 6803088640 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1346052099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19360 RENFREW RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482211836",
"telephone_number": "313-580-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19360 RENFREW RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482211836",
"telephone_number": "313-580-0209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "TRACEE",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-21",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6803088640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.