Active NPI
Karl Bates
- Clinical Social Worker
- Louisville, KY
National Provider Identifier
1720139140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- KY-1123
- Practice address
- 214 Breckenridge LN
104
Louisville, KY 40207-3868 - Phone
- (502) 893-3388
- NPI assigned
- Jan 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | KY-1123 | KY | Primary |
| Clinical Social Worker | 1041C0700X | 34003371A | IN |
Addresses
Primary practice location
214 Breckenridge LN
104
Louisville, KY 40207-3868
Mailing address
7400 New la Grange Rd
Ste 310
Louisville, KY 40222-4870
Phone (502) 893-3388
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000344331 | Other | KY | ANTHEM BLUE CROSS AND BLUE SHIELD |
| 8200100900 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041004000878 | KY | Practitioner - Clinical Social Worker | 5092784512 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Vitae Health Medical Kentucky, LLCAccess Behavioral Health Inc
Practice addresses (Care Compare)
3500 Good Samaritan Way
Louisville, KY 40299-6117
Phone (502) 267-7403
3801 Springhurst Blvd
Suite 101
Louisville, KY 40241-6137
Phone (502) 394-0101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34003371A | IN | MD | Clinical Social Worker |
| KY-1123 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Behavioral Health Inc | Current | Accepting new patients |
Locations
3801 Springhurst Blvd
Ste 101
Louisville, KY 40241
Phone (502) 394-0101
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1720139140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 NEW LA GRANGE RD",
"address_2": "STE 310",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224870",
"telephone_number": "502-893-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 BRECKENRIDGE LN",
"address_2": "104",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402073868",
"telephone_number": "502-893-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "KARL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-13",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "KY-1123",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34003371A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS AND BLUE SHIELD",
"identifier": "000000344331",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8200100900",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.