Angela Janet Bates
Individual provider Active NPI Social Worker · Las Vegas, NV
NPI 1720002884 · NPPES record last updated Oct 19, 2007
Key facts
- NPI
- 1720002884
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 2699-S (NV)
- Practice address
- 4000 E. Charleston Blvd.
B-230
Las Vegas, NV 89104-6682 - Phone
- (702) 968-5055
- Fax
- (702) 968-5050
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2699-S | NV | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2699-S | NV | Yes |
Addresses
Primary practice location
4000 E. Charleston Blvd.
B-230
Las Vegas, NV 89104-6682
Mailing address
4000 E. Charleston Blvd.
B-230
Las Vegas, NV 89104-6682
Phone (702) 968-5055
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.