Kristine Baumchen, LMSW, LMAC
Individual provider Active NPI Clinical Social Worker · Lawrence, KS
NPI 1023628567 · NPPES record last updated Aug 7, 2020
Key facts
- NPI
- 1023628567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5053 (KS)
- Practice address
- 1651 Naismith Dr
Lawrence, KS 66045-4069 - Phone
- (785) 393-5015
- NPI assigned
- Aug 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5053 | KS | MD | Clinical Social Worker |
| 871 | KS | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 871 | KS | |
| Clinical Social Worker |
1041C0700X | 5053 | KS | Yes |
Addresses
Primary practice location
1651 Naismith Dr
Lawrence, KS 66045-4069
Mailing address
1651 Naismith Dr
Lawrence, KS 66045-4069
Phone (785) 393-5015
Other providers in Lawrence, KS
- Kristen Noel Bast
- Claire Batchelder
- Jessica M Bates
- Thomas E Bates
- Kelly Joseph Battese
- Jean Baumhover
- Britani D Baxter
- Adeline Bay
- Emily Bayouth
- Karen Ann Bayouth
All providers in Lawrence, KS · Clinical Social Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.