Amanda Bates, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22008 Issued in MD

Practice address

8258 Veterans Hwy Ste 13
Millersville, MD 21108-1564

Phone

(410) 768-6088

Fax

(410) 768-6444

NPI assigned

Dec 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1982242582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8258 VETERANS HWY STE 13",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081564",
            "telephone_number": "410-768-6088",
            "fax_number": "410-768-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8258 VETERANS HWY STE 13",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081564",
            "telephone_number": "410-768-6088",
            "fax_number": "410-768-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "AMANDA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Christopher Barnes, DNP, CRNP, FNP-C
• Alexandra Barniea Green, CRNP
• Kimberly Allysha Barrett, LGPC
• Jennifer Baskette
• Tyler Bassett, LGPC
• Nicole Baumgartner, LCPC
• Bay Hyperbaric Group, Inc
• Bayside Physical Therapy & Sports Rehabilitation Limited Partnership
• Bayside Physical Therapy and Sports Rehabilitation, Inc.
• Bradley Scott Beam, PH.D.

• All providers in Millersville, MD
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.

Verify at the official NPI Registry.