Active NPI
Karl L Bateman, LCSW
- Clinical Social Worker
- Durango, CO
National Provider Identifier
1417223231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7775760-3502
- Practice address
- 1970 E 3Rd Ave
Suite 102
Durango, CO 81301-5056 - Phone
- (505) 414-0239
- NPI assigned
- Mar 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7775760-3502 | UT | |
| Mental Health Counselor | 101YM0800X | 7775760-3502 | UT | |
| Clinical Social Worker | 1041C0700X | 7775760-3502 | UT | Primary |
Addresses
Primary practice location
1970 E 3Rd Ave
Suite 102
Durango, CO 81301-5056
Mailing address
4465 Bella Vista Cir
Farmington, NM 87401-9273
Phone (801) 548-3972
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 |
|---|---|---|---|
| 7775760-3502 | UT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1417223231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4465 BELLA VISTA CIR",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874019273",
"telephone_number": "801-548-3972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 E 3RD AVE",
"address_2": "SUITE 102",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015056",
"telephone_number": "505-414-0239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATEMAN",
"first_name": "KARL",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-27",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "UT",
"license": "7775760-3502",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "7775760-3502",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "7775760-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.