Active NPI
Maria Yvette Bates, LCSW
- Clinical Social Worker
- Beltsville, MD
National Provider Identifier
1871610766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C2004265
- Practice address
- 11412 Sequoia Lane
Beltsville, MD 20705 - Phone
- (301) 937-1421
- NPI assigned
- Mar 23, 2007
- 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 | C2004265 | NC | Primary |
Addresses
Primary practice location
11412 Sequoia Lane
Beltsville, MD 20705
Mailing address
6900 Georgia Ave NW
Wramc BLDG 2 RM 2J38
Washington, DC 20307
Phone (202) 356-1012
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| C2004265 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622160000000",
"number": "1871610766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 GEORGIA AVE NW",
"address_2": "WRAMC BLDG 2 RM 2J38",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20307",
"telephone_number": "202-356-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11412 SEQUOIA LANE",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "20705",
"telephone_number": "301-937-1421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "MARIA",
"middle_name": "YVETTE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2021-05-28",
"certification_date": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C2004265",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "11412 Sequoia Lane",
"city": "Beltsville",
"state": "MD",
"country_code": "US",
"postal_code": "20705",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Beltsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.