Individual provider Active NPI

Jessica Sue Bates, LCSW

  • Clinical Social Worker
  • Beaufort, NC
National Provider Identifier
1437671872
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014909 Issued in NC
Practice address
1594 NC Highway 101
Beaufort, NC 28516-7731
Phone
(910) 546-9417
Fax
(252) 656-5585
NPI assigned
Jul 7, 2017
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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 C014909 NC Primary

Addresses

Primary practice location

1594 NC Highway 101
Beaufort, NC 28516-7731

Mailing address

1594 NC Highway 101
Beaufort, NC 28516-7731
Phone (910) 546-9417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NC, FL, MI, PA, ND, UT7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20220729000291 IA Practitioner - Clinical Social Worker 4486036019 Reassigns benefits to 3 organizations
I20231103001438 NC Practitioner - Clinical Social Worker 4486036019 Reassigns benefits to 2 organizations
I20231106002521 FL Practitioner - Clinical Social Worker 4486036019 Reassigns benefits to 2 organizations
I20240130001025 MI Practitioner - Clinical Social Worker 4486036019 Reassigns benefits to 2 organizations
I20250113000940 PA Practitioner - Clinical Social Worker 4486036019 Reassigns benefits to 2 organizations
I20260219001761 ND Practitioner - Clinical Social Worker 4486036019 Reassigns benefits to 2 organizations
I20260430002690 UT Practitioner - Clinical Social Worker 4486036019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

1111 Faison Ave
Fayetteville, NC 28304-5032
Phone (207) 487-5335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C014909NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Post Acute Care PLLC Clinical CurrentSince Jun 27, 2022 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jul 12, 2023 Accepting new patients
Talkspace Provider Network PA CurrentSince Dec 20, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

233 University Ave
Des Moines, IA 50314
Phone (515) 284-1280

699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920

204 N Keokuk Washington Rd
Keota, IA 52248
Phone (641) 636-3400

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

3523 45th St S
Fargo, ND 58104
Phone (701) 203-5247

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1437671872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 NC HIGHWAY 101",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285167731",
            "telephone_number": "910-546-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 NC HIGHWAY 101",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285167731",
            "telephone_number": "910-546-9417",
            "fax_number": "252-656-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "JESSICA",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, NC

Sources for this page

Verify at the official NPI Registry.