Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Douglas Bates, PHD

Individual provider Clinical Social Worker · NPI 1619579711

Dr. Douglas Bates, PHD is a Clinical Social Worker in Kernersville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2020
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

110 Fairidge Ct
Kernersville, NC 27284-6359
Phone: (336) 252-4479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C017821 (NC)

Record details

NPI number1619579711
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 12, 2020
Last updated in NPPESJune 15, 2025
Certification dateJune 15, 2025

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