Kirt Baab
Individual provider Active NPI Clinical Social Worker · Manitou Springs, CO
NPI 1033515317 · NPPES record last updated Oct 26, 2024
Key facts
- NPI
- 1033515317
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW.09928467 (CO)
- Practice address
- 30 El Paso Blvd Apt 8
Manitou Springs, CO 80829-2451 - Phone
- (231) 944-0407
- NPI assigned
- Nov 13, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1312 17TH St
Suite 936
Denver, CO 80202-1508
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160301002241 | MI | Practitioner - Clinical Social Worker | 3779888615 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801089941 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical, P.a. | Current |
Accepting new patients | |
| Munson Home Care | Current |
Accepting new patients | |
| Munson Home Care | Current |
Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
1312 17th St
Denver, CO 80202
Phone (303) 997-0305
2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
550 Munson Ave
Traverse City, MI 49686
Phone (231) 935-6600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801089941 | MI | |
| Clinical Social Worker | 1041C0700X | CSW.09928467 | CO | Yes |
Addresses
Primary practice location
30 El Paso Blvd Apt 8
Manitou Springs, CO 80829-2451
Mailing address
30 El Paso Blvd Apt 8
Manitou Springs, CO 80829-2451
Phone (231) 944-0407
Other providers in Manitou Springs, CO
- Chandler Rene Bickford
- James Samuel Botwright
- Frank S Chavez
- Cheyenne Village, Inc.
- Cheyenne Village, Inc.
All providers in Manitou Springs, CO · Clinical Social Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.