Individual provider Active NPI

Elizabeth Nickole McCarty Baumeister, LCSW

  • Clinical Social Worker
  • San Jose, CA
National Provider Identifier
1023368990
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
75880 Issued in CA
Practice address
4750 Almaden Expy Ste 124-335
San Jose, CA 95118-2052
Phone
(408) 766-2940
NPI assigned
Sep 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 75880 CA Primary

Addresses

Primary practice location

4750 Almaden Expy Ste 124-335
San Jose, CA 95118-2052

Mailing address

4750 Almaden Expy Ste 124-335
San Jose, CA 95118-2052
Phone (408) 766-2940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170421000963 CA Practitioner - Clinical Social Worker 5799061065 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75880CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Liz Nickole Therapy, a Licensed Clinical Social Worker Professional Corporation Clinical CurrentSince Sep 3, 2025 Accepting new patients
Grow Healthcare Group PC Mental Health CurrentSince Oct 8, 2024 Accepting new patients

Locations

4750 Almaden Expy
Ste 124335
San Jose, CA 95118
Phone (408) 766-2940

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1023368990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 ALMADEN EXPY STE 124-335",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951182052",
            "telephone_number": "408-766-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 ALMADEN EXPY STE 124-335",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951182052",
            "telephone_number": "408-766-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMEISTER",
        "first_name": "ELIZABETH",
        "middle_name": "NICKOLE MCCARTY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "75880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.