Individual provider Active NPI

Eric F Bauman, LCSW, CASAC

  • Clinical Social Worker
  • Westbury, NY
National Provider Identifier
1427342013
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069380 Issued in NY
Practice address
75 Post Ave
Westbury, NY 11590-4338
Phone
(516) 582-0255
Fax
(516) 876-4942
NPI assigned
Jun 1, 2011
Last updated
Jun 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6894 NY
Clinical Social Worker 1041C0700X 069380 NY Primary

Addresses

Primary practice location

75 Post Ave
Westbury, NY 11590-4338

Mailing address

75 Post Ave
Westbury, NY 11590-4338
Phone (516) 582-0255

Other names 1

  • Mr. Eric F Bauman Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6894NYMDAddiction (Substance Use Disorder) Counselor
069380NYMDClinical Social Worker
058702NYMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1427342013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 POST AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115904338",
            "telephone_number": "516-582-0255",
            "fax_number": "516-876-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 POST AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115904338",
            "telephone_number": "516-582-0255",
            "fax_number": "516-876-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "ERIC",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "LCSW, CASAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "6894",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "BAUMAN",
            "middle_name": "F",
            "prefix": "MR.",
            "credential": "LCSW, CASAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.