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

Individual provider Clinical Social Worker · NPI 1972109544

Rickey Bates, LCSW is a Clinical Social Worker in Los Angeles, California. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

11301 Wilshire Blvd Bldg 402
Los Angeles, CA 90073-1003
Phone: (626) 558-4754
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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 LCSW92673 (CA)

Record details

NPI number1972109544
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 9, 2020
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

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