Active NPI
Leslie M. Baer, L.C.S.W.
- Clinical Social Worker
- Chatham, NJ
National Provider Identifier
1073667036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC06637
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2651166 | Other | NJ | OXFORD ID # |
| 2219520 | Other | NJ | MHN ID # |
| 2819234 | Other | NJ | AETNA ID # |
| 021097 | Other | NJ | ANHEUSER-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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SC06637 | NJ | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.