Victoria Miller Bausch, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004074 Issued in GA

Practice address

2900 Chamblee Tucker Rd BLDG 16100
Atlanta, GA 30341-4100

Phone

(770) 939-1288

Fax

(770) 212-2203

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1053465484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 PLANTATION DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213281",
            "telephone_number": "478-290-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CHAMBLEE TUCKER RD BLDG 16100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414100",
            "telephone_number": "770-939-1288",
            "fax_number": "770-212-2203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1826 Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310213620",
            "country_code": "US",
            "telephone_number": "478-272-1210 x4071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUSCH",
        "first_name": "VICTORIA",
        "middle_name": "MILLER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baumrind Retina, LLC
• Benjamin Rosen Baumrind, M.D.
• Sara Bess Baumrind, D.M.D.
• Jody Baumstein
• Emma Bausback, PT
• Anna Bausum, ND
• Erik Bautista, PHARMD
• Jenny K Bautista, MS
• Lawrence Bautista, M.S., BCBA
• Lindsay Hazel Bautista, PT, DPT

• All providers in Atlanta, GA
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.