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DR. DOUGLAS BATES PH.D.
NPI 1619579711
Social Worker - Clinical in Kernersville, NC

Active since November 12, 2020
110 FAIRIDGE CT, KERNERSVILLE, NC 27284(336) 252-4479 Get Directions Write a Review

NPPES record last updated: June 15, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jun 15, 2025, Nov 12, 2020 (2 updates tracked since 2020).

About Dr. Douglas Bates Ph.d. NPPES

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

DR. DOUGLAS BATES PH.D. (NPI 1619579711) is an individual clinical provider in Kernersville, North Carolina, licensed in North Carolina (C017821) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1619579711
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDR. DOUGLAS BATESCredential: PH.D.
Location Address110 FAIRIDGE CTKernersville, NC 27284-6359
Mailing Address110 Fairidge CtKernersville, NC 27284-6359 · (803) 543-2605
Phone(336) 252-4479
Sole ProprietorYes
Enumeration DateNovember 12, 2020
Last NPPES UpdateJune 15, 20252 updates tracked since enumeration
NPPES CertifiedJune 15, 2025
✔ NPI 1619579711 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 NC · C017821
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.
110 FAIRIDGE CT, Kernersville, NC 27284
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Other Identifiers 1

Medicaid00465933NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

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 Douglas Bates's NPI number?

The NPI number for Douglas Bates is 1619579711. It was assigned to this individual provider in the NPPES registry on November 12, 2020.

Where is Douglas Bates located?

Douglas Bates practices at 110 Fairidge Ct, Kernersville, NC 27284. The listed phone number is (336) 252-4479.

What is Douglas Bates's specialty?

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

What insurance does Douglas Bates accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Douglas Bates 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 Douglas Bates was last updated on June 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.