Mary Beth Yates, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW021512 Issued in PA

Practice address

4766 Au Sable Dr
Gibsonia, PA 15044-8348

Phone

(412) 292-6171

NPI assigned

Jul 14, 2021

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

Electronic endpoints 1

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": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1821660291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4766 AU SABLE DR",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448348",
            "telephone_number": "412-292-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4766 AU SABLE DR",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448348",
            "telephone_number": "412-292-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "MARY BETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbyates@verizon.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4766 Au Sable Dr",
            "city": "Gibsonia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150448348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathy Workman, PT
• Kimberly Wright
• Lydia Ann Wudarczyk, PHARMD
• Jamie Dale Wyels, R.PH.
• Jacqueline D Yancey, DO
• Your Life in Balance, LLC
• Eugene James Zappa, PT
• Xuan Zhao, MD, DPT
• Austin Bernard Zydel, PHARMD

• Clinical Social Worker in Gibsonia, PA
• Providers in Gibsonia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.

Verify at the official NPI Registry.