Yolanda Y Bates, L.C.S.W.

Individual provider Active NPI Clinical Social Worker · Fort Benning, GA

NPI 1881840148 · NPPES record last updated Dec 27, 2022

Key facts

NPI
1881840148
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
2127C (AL)
Practice address
7980 Martin Loop BLDG 9203
Fort Benning, GA 31905-5629
Phone
(706) 544-4610
NPI assigned
Aug 18, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2127C AL Yes

Addresses

Primary practice location

7980 Martin Loop BLDG 9203
Fort Benning, GA 31905-5629

Mailing address

7980 Martin Loop BLDG 9203
Fort Benning, GA 31905-5629
Phone (706) 544-4610

Other names

  • Yolanda Y Ford Former name

Other providers in Fort Benning, GA

All providers in Fort Benning, GA · Clinical Social Worker in Georgia

Sources for this page

Verify at the official NPI Registry.