Active NPI
Amy T Cates, LCSW
- Clinical Social Worker
- Little Rock, AR
National Provider Identifier
1720013014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1830-C
- Practice address
- 1100 N University Ave Ste 133
Little Rock, AR 72207-6344 - Phone
- (501) 293-0127
- Fax
- (501) 226-2056
- NPI assigned
- Jul 12, 2006
- 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 | 1830-C | AR | Primary |
Addresses
Primary practice location
1100 N University Ave Ste 133
Little Rock, AR 72207-6344
Mailing address
1100 N University Ave Ste 133
Little Rock, AR 72207-6344
Phone (012) 935-0127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5X651 | Other | AR | BLUECROSS BLUESHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1830-C | AR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Counseling Associates Inc. | Past | Accepting new patients | |
| Professional Counseling Associates Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lonoke, AR
- NPI 1356965990
-
- Community/Behavioral Health Agency
- North Little Rock, AR
- NPI 1437164977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619222400000",
"number": "1720013014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 N UNIVERSITY AVE STE 133",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722076344",
"telephone_number": "012-935-0127",
"fax_number": "501-226-2056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N UNIVERSITY AVE STE 133",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722076344",
"telephone_number": "501-293-0127",
"fax_number": "501-226-2056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATES",
"first_name": "AMY",
"middle_name": "T",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2021-04-24",
"certification_date": "2021-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "1830-C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "5X651",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.