William R Baumann, MSW, LISW

Individual provider Active NPI Clinical Social Worker · Greenville, OH

NPI 1386744936 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1386744936
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
I-0003086 (OH)
Practice address
227 W Main St
Greenville, OH 45331-1429
Phone
(937) 417-4145
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
I-0003086OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Darke County Mental Health Clinic, Inc Past Accepting new patients
A Healing Bridge, Red Oak Counseling Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-0003086 OH Yes

Addresses

Primary practice location

227 W Main St
Greenville, OH 45331-1429

Mailing address

5404 Eastnol Blvd
Greenville, OH 45331-9249
Phone (937) 417-4145

Other identifiers

IdentifierTypeStateIssuer
I-0003086OtherOHLICENSED INDEPENDENT SW

Other providers in Greenville, OH

All providers in Greenville, OH · Clinical Social Worker in Ohio

Sources for this page

Verify at the official NPI Registry.