Active NPI
Linda Yeates
- Clinical Social Worker
- Rohnert Park, CA
National Provider Identifier
1902362247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4229
- Practice address
- 6010 Commerce Blvd Ste 145
Rohnert Park, CA 94928-2127 - Phone
- (707) 586-3295
- NPI assigned
- Feb 12, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 4229 | KS | Primary |
Addresses
Primary practice location
6010 Commerce Blvd Ste 145
Rohnert Park, CA 94928-2127
Mailing address
6010 Commerce Blvd Ste 145
Rohnert Park, CA 94928-2127
Phone (707) 586-3295
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4229 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1902362247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6010 COMMERCE BLVD STE 145",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949282127",
"telephone_number": "707-586-3295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 COMMERCE BLVD STE 145",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949282127",
"telephone_number": "707-586-3295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEATES",
"first_name": "LINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-12",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "4229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rohnert Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.