Individual provider Active NPI

Leslie M. Baer, L.C.S.W.

  • Clinical Social Worker
  • Chatham, NJ
National Provider Identifier
1073667036
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC06637 Issued in NJ
Practice address
5 Townsquare
2ND Floor
Chatham, NJ 07928-2533
Phone
(973) 635-5535
Fax
(908) 508-0905
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SC06637 NJ Primary

Addresses

Primary practice location

5 Townsquare
2ND Floor
Chatham, NJ 07928-2533

Mailing address

5 Townsquare
2ND Floor
Chatham, NJ 07928-2533
Phone (973) 635-5535

Other identifiers 4

IdentifierTypeStateIssuer
P2651166OtherNJOXFORD ID #
2219520OtherNJMHN ID #
2819234OtherNJAETNA ID #
021097OtherNJANHEUSER-BUSCH ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050420000074 NJ Practitioner - Clinical Social Worker 9032157144 Practice locations: Chatham, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 Main St
Chatham, NJ 07928-2444
Phone (973) 635-5535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC06637NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073667036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TOWNSQUARE",
            "address_2": "2ND FLOOR",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282533",
            "telephone_number": "973-635-5535",
            "fax_number": "908-508-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TOWNSQUARE",
            "address_2": "2ND FLOOR",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282533",
            "telephone_number": "973-635-5535",
            "fax_number": "908-508-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAER",
        "first_name": "LESLIE",
        "middle_name": "M.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC06637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID #",
            "identifier": "P2651166",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN  ID #",
            "identifier": "2219520",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID #",
            "identifier": "2819234",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANHEUSER-BUSCH ID #",
            "identifier": "021097",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

Verify at the official NPI Registry.