NPIMap

Organization Active NPI

Bethany, Yates & Assocaites

  • Clinical Social Worker
  • Arlington, TX
National Provider Identifier
1407090327
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24724 Issued in TX
Legal business name
BETHANY, YATES & ASSOCAITES
Practice address
803 Stadium Dr Ste 101
Arlington, TX 76011-6246
Phone
(817) 459-2003
Fax
(817) 459-1898
NPI assigned
Apr 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Mr. Charles Yates, LCSWNPI 1417965864
Title
Partner
Phone
(871) 459-2003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 24021 TX
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 24724 TX Primary

Addresses

Primary practice location

803 Stadium Dr Ste 101
Arlington, TX 76011-6246

Mailing address

803 Stadium Dr Ste 101
Arlington, TX 76011-6246
Phone (817) 459-2003

National Provider Directory

National Provider Directory

Locations

803 Stadium Dr
Ste 101
Arlington, TX 76011
Phone (817) 459-2003

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1407090327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 STADIUM DR STE 101",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760116246",
            "telephone_number": "817-459-2003",
            "fax_number": "817-459-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 STADIUM DR STE 101",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760116246",
            "telephone_number": "817-459-2003",
            "fax_number": "817-459-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY, YATES & ASSOCAITES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "871-459-2003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "24021",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "24724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.