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EXTRIARA CHARLESH GATES LCSW
NPI 1033755137
Social Worker - Clinical in Atlanta, GA

Active since November 23, 2019PECOS Enrolled
3755 REDWINE RD APT 2216, ATLANTA, GA 30344(404) 667-6791 Get Directions Write a Review

NPPES record last updated: November 23, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Extriara Charlesh Gates Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXTRIARA CHARLESH GATES LCSW (NPI 1033755137) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (CSW006847) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033755137
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEXTRIARA CHARLESH GATESCredential: LCSW
Location Address3755 REDWINE RD APT 2216Atlanta, GA 30344-5932
Mailing Address3755 Redwine Rd Apt 2216Atlanta, GA 30344-5932 · (404) 667-6791
Phone(404) 667-6791
Sole ProprietorNo
Enumeration DateNovember 23, 2019
✔ NPI 1033755137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW006847
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3755 REDWINE RD APT 2216, Atlanta, GA 30344
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Extriara Charlesh Gates Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Extriara Gates reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brightside Medical Of Michigan PC
2,140 mi
Psychiatry
5214F DIAMOND HEIGHTS BLVD # 3422
San Francisco, CA 94131
  • Reassigned Medicare billing, Georgia enrollment
  • 57 clinicians in this Medicare group
NPI 1144800350 (415) 360-3348

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30344 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Extriara Gates's NPI number?

The NPI number for Extriara Gates is 1033755137. It was assigned to this individual provider in the NPPES registry on November 23, 2019.

Where is Extriara Gates located?

Extriara Gates practices at 3755 Redwine Rd Apt 2216, Atlanta, GA 30344. The listed phone number is (404) 667-6791.

What is Extriara Gates's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Extriara Gates enrolled in Medicare?

Yes. Extriara Gates is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Extriara Gates's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Extriara Gates reassigns Medicare benefits to Brightside Medical Of Michigan PC (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Extriara Gates's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Extriara Gates accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Extriara Gates as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Extriara Gates was last updated on November 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.