Individual provider Active NPI

Alexander George Bauman, LCSW, CADC, CODP-1

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1073233003
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.029227 Issued in IL
Practice address
680 North Lake Shore Drive Suite 110 - 1993
Chicago, IL 60611
Phone
(630) 426-9437
NPI assigned
Aug 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 39359 IL
Clinical Social Worker 1041C0700X .17890 SC
Mental Health Counselor 101YM0800X 2092-122 WI
Clinical Social Worker 1041C0700X 6801120339 MI
Mental Health Counselor 101YM0800X .09932084 CO
Clinical Social Worker 1041C0700X 149.029227 IL Primary
Mental Health Counselor 101YM0800X 140311 IA
Mental Health Counselor 101YM0800X 5368 HI
Clinical Social Worker 1041C0700X 2092-122 WI
Mental Health Counselor 101YM0800X 6801120339 MI
Mental Health Counselor 101YM0800X .17890 SC
Clinical Social Worker 1041C0700X .09932084 CO
Mental Health Counselor 101YM0800X 149.029227 IL
Clinical Social Worker 1041C0700X 140311 IA
Clinical Social Worker 1041C0700X 5368 HI

Addresses

Primary practice location

680 North Lake Shore Drive Suite 110 - 1993
Chicago, IL 60611

Mailing address

680 North Lake Shore Drive Suite 110 - 1993
Chicago, IL 60611
Phone (312) 330-2561

Other practice location 1

200 N Vineyard Blvd Ste. A325 # 5532
Honolulu, HI 96817
Phone (630) 426-9437

Other practice location 2

1542 Flammang Dr #1051
Waterloo, IA 50702
Phone (630) 426-9437

Other practice location 3

1905 Sherman Street Ste 200 2158, Denver, CO 80203-0421
Denver, CO 80203
Phone (630) 426-9437

Other practice location 4

#1216 78 Folly Road Ste B9
Charleston, SC 29407
Phone (630) 426-9437

Other practice location 5

2001 N Doctor M.L.K. Jr Dr #524
Milwaukee, WI 53212
Phone (630) 426-9437

Other practice location 6

3534 Clarence Ave
Berwyn, IL 60402-3855
Phone (312) 330-2561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20260605003101 IL Practitioner - Clinical Social Worker 6608347075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

932 W Washington Blvd
Chicago, IL 60607-2217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39359ILMDAddiction (Substance Use Disorder) Counselor
149.029227ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
My Abundant Life Therapy Addiction (Substance Use Disorder) CurrentSince Nov 7, 2025 Accepting new patients

Locations

1905 N Sherman St
Ste 200
Denver, CO 80203
Phone (720) 683-0389

200 N Vineyard Blvd
Ste A325
Honolulu, HI 96817
Phone (808) 392-4813

680 N Lake Shore Dr
Ste 110
Chicago, IL 60611
Phone (630) 283-7980

78 Folly Road Blvd
Ste B9
Charleston, SC 29407
Phone (630) 426-9437

2001 N Mlk Dr
Milwaukee, WI 53212
Phone (630) 426-9437

Interoperability endpoints

  • Direct secure messaging: alexander.bauman.p1@direct.hcenter.nextgenshare.com

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": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1073233003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 NORTH LAKE SHORE DRIVE SUITE 110 - 1993",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-330-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 NORTH LAKE SHORE DRIVE SUITE 110 - 1993",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "630-426-9437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Vineyard Blvd Ste. A325 # 5532",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "96817",
            "country_code": "US",
            "telephone_number": "630-426-9437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1542 Flammang Dr #1051",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "50702",
            "country_code": "US",
            "telephone_number": "630-426-9437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1905 Sherman Street Ste 200 2158, Denver, CO 80203-0421",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80203",
            "country_code": "US",
            "telephone_number": "630-426-9437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "#1216 78 Folly Road Ste B9",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "29407",
            "country_code": "US",
            "telephone_number": "630-426-9437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 N Doctor M.L.K. Jr Dr #524",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53212",
            "country_code": "US",
            "telephone_number": "630-426-9437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3534 Clarence Ave",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604023855",
            "country_code": "US",
            "telephone_number": "312-330-2561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "ALEXANDER",
        "middle_name": "GEORGE",
        "credential": "LCSW, CADC, CODP-1",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-30",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "39359",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": ".17890",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2092-122",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801120339",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": ".09932084",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.029227",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "140311",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "5368",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2092-122",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801120339",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": ".17890",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": ".09932084",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149.029227",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "140311",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "5368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.