Paula Smith Bauer, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1552 Roberts Dr
Jacksonville Beach, FL 32250-3222

Phone

(904) 299-3420

NPI assigned

Jan 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Polly Smith Bauer Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Coastal Counseling of North Florida, LLC

  • Clinical Social Worker
  • Ponte Vedra, FL
  • NPI 1902741713
  NPD Authorized official
• Beaches Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville Beach, FL
  • NPI 1922471721

  Clinical

  NPD (past)

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

{
    "created_epoch": "1548547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548547200000",
    "number": "1396209003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 BRIDLE WAY",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821901",
            "telephone_number": "203-913-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 ROBERTS DR",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503222",
            "telephone_number": "904-299-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "PAULA",
        "middle_name": "SMITH",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-27",
        "last_updated": "2019-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POLLY",
            "last_name": "BAUER",
            "middle_name": "SMITH",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anne Laura Barufaldi, L.M.H.C.
• Patrick Louis Basile, M.D.
• Robert T. Bass Jr., MD
• Jenny Batalla, LMHC
• Laura Ashley Bateh, PHARM.D.
• Mark Henry Baughman, PT ATC
• Beach Optical Company
• Beaches Acupuncture & Wellness Center
• Beaches Behavioral Medicine
• Beaches Confident Kids LLC

• Clinical Social Worker in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.