Individual provider Active NPI

Elizabeth Bauman

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1093463101
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092953 Issued in NY
Practice address
147 Front St Ste 212&311
Brooklyn, NY 11201-1154
Phone
(301) 325-1976
NPI assigned
Mar 17, 2022
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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 092953 NY Primary

Addresses

Primary practice location

147 Front St Ste 212&311
Brooklyn, NY 11201-1154

Mailing address

147 Front St Ste 212&311
Brooklyn, NY 11201-1154
Phone (301) 325-1976

Other practice location 1

832 Hicks St # 2
Brooklyn, NY 11231-2401
Phone (301) 325-1976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251223002861 NY Practitioner - Clinical Social Worker 0840785150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

220 Hooper St
Brooklyn, NY 11211-7912

70 Washington St
Apt 3C
Brooklyn, NY 11201-1443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092953NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Canino LCSW Psychotherapy PC Single Specialty CurrentSince Oct 18, 2025 Accepting new patients

Locations

68 Jay St
Ste 311
Brooklyn, NY 11201
Phone (347) 560-8591

68 Jay St
Ste 620
Brooklyn, NY 11201
Phone (646) 362-9382

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1093463101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 FRONT ST STE 212&311",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011154",
            "telephone_number": "301-325-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 FRONT ST STE 212&311",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011154",
            "telephone_number": "301-325-1976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "832 Hicks St # 2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112312401",
            "country_code": "US",
            "telephone_number": "301-325-1976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.