Tabatha Jo Baumgartner, LCSW
Individual provider Active NPI Clinical Social Worker · Rupert, ID
NPI 1225569338 · NPPES record last updated Sep 5, 2024
Key facts
- NPI
- 1225569338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW-44878 (ID)
- Practice address
- 512 6TH St
Rupert, ID 83350-1621 - Phone
- (208) 436-4911
- Fax
- (208) 436-1758
- NPI assigned
- Mar 22, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Health Services Corporation
Practice addresses (Care Compare)
402 6TH St
Rupert, ID 83350-1619
Phone (208) 650-7941
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240513001395 | ID | Practitioner - Clinical Social Worker | 7012336357 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-36530 | ID | MD | Social Worker |
| LCSW-44878 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Services Corporation | Clinical | Current |
Accepting new patients |
| Family Health Services Corporation | Clinical | Current | Accepting new patients |
| Family Health Services Corporation | Current | Accepting new patients | |
| Family Health Services Corporation | Clinical | Current | Accepting new patients |
| A Time for Change Therapy | Clinical | Current | Accepting new patients |
| Family Health Services Corporation | Social Worker | Current |
Accepting new patients |
| Family Health Services Corporation | Social Worker | Past | Accepting new patients |
| Family Health Services Corporation | Clinical | Past | Accepting new patients |
| Family Health Services Corporation | Past | Accepting new patients | |
| Family Health Services Corporation | Social Worker | Past | Accepting new patients |
| Family Health Services Corporation | Social Worker | Past | Accepting new patients |
| Family Health Services Corporation | Social Worker | Past | Accepting new patients |
Locations
725 Fair St
Buhl, ID 83316
Phone (208) 543-8271
1309 Bennett Ave
Burley, ID 83318
Phone (208) 677-5198
218 W Nez Perce
Jerome, ID 83338
Phone (208) 324-3471
402 6th St
Rupert, ID 83350
Phone (208) 650-7941
388 Martin St
Twin Falls, ID 83301
Phone (208) 734-0451
794 Eastland Dr
Twin Falls, ID 83301
Phone (208) 734-3312
325 Martin St
Twin Falls, ID 83301
Phone (208) 732-7101
Interoperability endpoints
- tabitha.baumgartnerlmsw.p1@direct.fhsid.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-36530 | ID | |
| Clinical Social Worker | 1041C0700X | LCSW-44878 | ID | Yes |
Addresses
Primary practice location
512 6TH St
Rupert, ID 83350-1621
Mailing address
402 6TH St
Rupert, ID 83350-1619
Phone (208) 650-7941
Other names
- Tabatha Jo Carson
Other providers in Rupert, ID
- Atob Services, LLC
- Autumn Haven Assisted Living, Inc,
- Jessica Bagby
- Jeffery D. Baldwin
- Mikea Barrie
- Brandon Beck
- Scott R Bloxham
- Leo R Brown
- Christopher Mark Burns
- Ryan Callahan
All providers in Rupert, ID · Clinical Social Worker in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.