Healthcare Provider Details

I. General information

NPI: 1306298849
Provider Name (Legal Business Name): CARRIE BATES ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2016
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8912 VOLUNTEER LN
SACRAMENTO CA
95826-3221
US

IV. Provider business mailing address

101 MISSION ST STE 800
SAN FRANCISCO CA
94105-1744
US

V. Phone/Fax

Practice location:
  • Phone: 916-344-0199
  • Fax:
Mailing address:
  • Phone: 415-231-5333
  • Fax: 415-231-5332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number89569
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: