Stephanie Anne Bates, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006765 Issued in VA

Practice address

5950 12TH St Ste 101
Family Life Center, BLDG 1186
Ft Belvoir, VA 22060-5539

Phone

(703) 805-2727

Fax

(703) 805-2440

NPI assigned

Apr 29, 2008

Last updated

Sep 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1568637775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 12TH ST, SUITE 101",
            "address_2": "FAMILY LIFE CENTER, BLDG 1186",
            "city": "FT BELVOIR",
            "state": "VA",
            "postal_code": "22060",
            "telephone_number": "703-805-2727",
            "fax_number": "703-805-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 12TH ST STE 101",
            "address_2": "FAMILY LIFE CENTER, BLDG 1186",
            "city": "FT BELVOIR",
            "state": "VA",
            "postal_code": "220605539",
            "telephone_number": "703-805-2727",
            "fax_number": "703-805-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel W Barnett, D.P.M.
• Timothy Paul Barron, D.O
• David Scott Barry, PSY.D.
• Ashley Bartholomew
• Matthew Peter O'Neill Bartolozzi, DO
• Ryan Bautista
• Stephanie Laine Beauregard, P.T.
• Dennis Kudzo Bedzo, PHARM D
• Brian Christopher Benson, M.D.
• Pretoria Benson, CRNA

• Clinical Social Worker in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.