Shelby Baumer
Individual provider Active NPI Clinical Social Worker · Ridgefield, CT
NPI 1124858816 · NPPES record last updated Aug 28, 2024
Key facts
- NPI
- 1124858816
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 006038 (CT)
- Practice address
- 27 Governor St
Ridgefield, CT 06877-4608 - Phone
- (203) 438-5555
- NPI assigned
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006038 | CT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 006038 | CT | Yes |
Addresses
Primary practice location
27 Governor St
Ridgefield, CT 06877-4608
Mailing address
27 Governor St
Ridgefield, CT 06877-4608
Other providers in Ridgefield, CT
- Randall Glenn Baldwin
- Douglas Romney Barile
- Kristina Camille Barlow
- Veronica Mariela Barrett
- Beverly Jean Barton
- Jillian Michelle Beale
- Lucia Bednarova
- Meredith Beenen
- Being Centered: Psycological Services, PLLC
- Benchmark Assisted Living LLC
All providers in Ridgefield, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.