Active NPI
Jessica Sue Bates, LCSW
- Clinical Social Worker
- Beaufort, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C014909
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 7
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C014909 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Post Acute Care PLLC | Clinical | Current | Accepting new patients |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Talkspace Provider Network PA | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1639814049
FL, IA, NC, ND, PA, UT
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
Clinical, IA, MI, NC, ND, PA
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1033999800
MI
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.