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RICKEY BATES LCSW
NPI 1972109544
Social Worker - Clinical in Los Angeles, CA

Active since December 09, 2020PECOS Enrolled
11301 WILSHIRE BLVD BLDG 402, LOS ANGELES, CA 90073(626) 558-4754 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 23, 2021, Dec 9, 2020 (2 updates tracked since 2020).

About Rickey Bates Lcsw NPPES

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

RICKEY BATES LCSW (NPI 1972109544) is an individual clinical provider in Los Angeles, California, licensed in California (LCSW92673) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1972109544
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRICKEY BATESCredential: LCSW
Location Address11301 WILSHIRE BLVD BLDG 402Los Angeles, CA 90073-1003
Mailing Address5050 E 2nd St Unit 41473Long Beach, CA 90853-5457 · (405) 209-5703
Phone(626) 558-4754
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 9, 2020
Last NPPES UpdateMarch 20, 20242 updates tracked since enumeration
NPPES CertifiedMarch 20, 2024
✔ NPI 1972109544 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 CA · LCSW92673
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.
11301 WILSHIRE BLVD BLDG 402, Los Angeles, CA 90073
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rickey Bates Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628545837
PECOS Enrollment IDI20260424002201
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90073 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DERRICK ANTHONY WRIGHT LCSW
Social Worker (Clinical)
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
STEPHANIE YOM FNP-BC
Nurse Practitioner (Family)
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
DANIEL EWING CRNP
Nurse Practitioner (Family)
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
LUIS RENE CARRILLO DNP, RN
Nurse Practitioner (Psychiatric/Mental Health)
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073
Los Angeles County (310) 268-3566
DR. YOUNG SOHN SONG PH.D.
Psychologist (Counseling)
11301 WILSHIRE BLVD BLDG 402, VA GREATER LOS ANGELES HEALTHER CARE SYSTEM
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
MR. ROBERT MICHAEL QUEVEDO NP
Nurse Practitioner (Primary Care)
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
JAYME MORENO NEWBERRY AGPCNP-BC
Nurse Practitioner
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
MINO CHOUGH
Nurse Practitioner (Primary Care)
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711

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 Rickey Bates's NPI number?

The NPI number for Rickey Bates is 1972109544. It was assigned to this individual provider in the NPPES registry on December 9, 2020.

Where is Rickey Bates located?

Rickey Bates practices at 11301 Wilshire Blvd Bldg 402, Los Angeles, CA 90073. The listed phone number is (626) 558-4754.

What is Rickey Bates's specialty?

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

Is Rickey Bates enrolled in Medicare?

Yes. Rickey Bates is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rickey Bates was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.