Individual provider Active NPI

Nina Diana Farley-Bates, L.C.S.W., D.B.H

  • Clinical Social Worker
  • Oakhurst, CA
National Provider Identifier
1346448651
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS24358 Issued in CA
Practice address
49063 Road 426 Ste a
Oakhurst, CA 93644-9487
Phone
(559) 760-0484
Fax
(559) 689-3354
NPI assigned
Jul 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS24358 CA Primary

Addresses

Primary practice location

49063 Road 426 Ste a
Oakhurst, CA 93644-9487

Mailing address

40034 Road 415
Coarsegold, CA 93614-8832
Phone (559) 760-5798

Other identifiers 1

IdentifierTypeStateIssuer
1346448651MedicaidCA

Other names 1

  • Mrs. Nina Diana Hofer Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Oakhurst Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130228000104 CA Practitioner - Clinical Social Worker 3173778966 Practice locations: Oakhurst, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

49063 Rd
426 Suite a
Oakhurst, CA 93644-9487
Phone (559) 760-0484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Craig R Mundy DDS Inc PastSince Sep 23, 2024 Accepting new patients

Organizations & group practices 1

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": "1183852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1346448651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40034 ROAD 415",
            "city": "COARSEGOLD",
            "state": "CA",
            "postal_code": "936148832",
            "telephone_number": "559-760-5798",
            "fax_number": "559-689-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49063 ROAD 426 STE A",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936449487",
            "telephone_number": "559-760-0484",
            "fax_number": "559-689-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY-BATES",
        "first_name": "NINA",
        "middle_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "L.C.S.W., D.B.H",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-08",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS24358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346448651",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Oakhurst",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR, Secure portal",
            "address_1": "49063 Road 426 Ste A",
            "city": "Oakhurst",
            "state": "CA",
            "country_code": "US",
            "postal_code": "936449487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "HOFER",
            "middle_name": "DIANA",
            "prefix": "MRS.",
            "credential": "MSW, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oakhurst, CA

Sources for this page

Verify at the official NPI Registry.