Individual provider Active NPI

Fred J. Baumann, LMSW & MA.LLP

  • Clinical Social Worker
  • Clarkston, MI
National Provider Identifier
1396809794
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801012294 Issued in MI
Practice address
8062 Ortonville Rd
Clarkston, MI 48348-4456
Phone
(248) 625-2970
Fax
(248) 625-6829
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301006566MIMDCounseling Psychologist
6801012294MIMDClinical Social Worker

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6301006566 MI
Clinical Social Worker 1041C0700X 6801012294 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

8062 Ortonville Rd
Clarkston, MI 48348-4456

Mailing address

8062 Ortonville Rd
Clarkston, MI 48348-4456
Phone (248) 625-2970

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1396809794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8062 ORTONVILLE RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484456",
            "telephone_number": "248-625-2970",
            "fax_number": "248-625-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8062 ORTONVILLE RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484456",
            "telephone_number": "248-625-2970",
            "fax_number": "248-625-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMANN",
        "first_name": "FRED",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "LMSW & MA.LLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301006566",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801012294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.