Edward Yates, BA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

127177 Issued in MA

Practice address

23 Mellen St
Cambridge, MA 02138-2757

Phone

(617) 349-8545

NPI assigned

Aug 16, 2018

Sex

Male

Sole proprietor

Yes

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

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1356821607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DEXTER ST APT 4",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535069",
            "telephone_number": "813-351-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MELLEN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021382757",
            "telephone_number": "617-349-8545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Amory St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021191051",
            "country_code": "US",
            "telephone_number": "857-399-1920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YATES",
        "first_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "127177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Matthew Yapo, M.D.
• Stanley Smith Yarbro
• Janet O Yardley, MD
• Aliza C Yarrow, PSY.D.
• Annabelle Yates
• Karen Yau
• Jamie Ye, MD
• Teresa Yeh, LICSW
• Yun- Ting Eric Yeh, M.D.
• Jyothika Sooraj Yermal, MD

• Clinical Social Worker in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.