Organization Active NPI

Maydean Yates

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1912664327
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MAYDEAN YATES
Practice address
217 N Lois Ave
Tampa, FL 33609-2232
Phone
(813) 360-6014
Fax
(813) 358-3605
NPI assigned
Nov 19, 2021
Last updated
Nov 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Maydean Yates, LCSW
Title
Practice Owner
Phone
(813) 360-6014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

217 N Lois Ave
Tampa, FL 33609-2232

Mailing address

606 S Glen Ave Unit 7
Tampa, FL 33609-4675
Phone (813) 360-6014

Other names 1

  • Bottom Line Counseling Solutions, LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL maydean@bottomlinecounselingsolutions.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

217 N Lois Ave
Tampa, FL 33609
Phone (813) 360-6014

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1912664327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 S GLEN AVE UNIT 7",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094675",
            "telephone_number": "813-360-6014",
            "fax_number": "813-358-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N LOIS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092232",
            "telephone_number": "813-360-6014",
            "fax_number": "813-358-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYDEAN YATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "MAYDEAN",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "813-360-6014",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "maydean@bottomlinecounselingsolutions.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "information",
            "address_1": "217 N Lois Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336092232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bottom Line Counseling Solutions, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.