Individual provider Active NPI

Julie A Bates, LISW

  • Clinical Social Worker
  • Marysville, OH
National Provider Identifier
1831163161
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I10229 Issued in OH
Practice address
453 Allenby Dr
Marysville, OH 43040-8722
Phone
(937) 642-0048
Fax
(937) 642-0048
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I10229 OH Primary

Addresses

Primary practice location

453 Allenby Dr
Marysville, OH 43040-8722

Mailing address

453 Allenby Dr
Marysville, OH 43040-8722
Phone (937) 642-0048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051109001262 OH Practitioner - Clinical Social Worker 1759309511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Reflections Counseling Center, LLCGroup PAC ID 3870506249, 4 clinicians

Practice addresses (Care Compare)

16920 Square Dr
Marysville, OH 43040-9616
Phone (937) 642-0048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I10229OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Reflections Counseling Center, LLC Clinical CurrentSince Jan 25, 2010 Accepting new patients

Locations

453 Allenby Dr
Marysville, OH 43040
Phone (937) 642-0048

16920 Square Dr
Marysville, OH 43040
Phone (937) 642-0048

Organizations & group practices 1

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1831163161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 ALLENBY DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408722",
            "telephone_number": "937-642-0048",
            "fax_number": "937-642-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 ALLENBY DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408722",
            "telephone_number": "937-642-0048",
            "fax_number": "937-642-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I10229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

Verify at the official NPI Registry.