Michael Lance Baugh, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60080832 Issued in WA

Practice address

310 3Rd Ave NE Ste 108
Issaquah, WA 98027-3346

Phone

(415) 793-3604

NPI assigned

Feb 7, 2011

Last updated

Feb 7, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1255637377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 3RD AVE NE STE 108",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273346",
            "telephone_number": "415-793-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 3RD AVE NE STE 108",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273346",
            "telephone_number": "415-793-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGH",
        "first_name": "MICHAEL",
        "middle_name": "LANCE",
        "name_prefix": "Prof.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60080832",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LC9324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Barry
• Hannah Marie Bartlow
• Azka Bashir, LMFTA
• Tracy Ann Bates, PHARMD
• Megan Maureen Bauer, PNP
• Erica Bayot, MSW, LSWAIC
• BC Issaquah MC, LLC Dba Ciel Senior Living of Issaquah
• Janice Darlene Beattie, M.S.
• Alison M Beaudry, DPT
• Blake J. Beck, PA-C

• Clinical Social Worker in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.