Active NPI
Balynda Baughman, LCSW
- Clinical Social Worker
- New Port Richey, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW17658
- Practice address
- 9332 State Road 54 Ste 307
New Port Richey, FL 34655-1810 - Phone
- (833) 769-3524
- NPI assigned
- Sep 12, 2014
- Last updated
- May 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801096559 | MI | |
| Clinical Social Worker | 1041C0700X | SW17658 | FL | Primary |
Addresses
Primary practice location
9332 State Road 54 Ste 307
New Port Richey, FL 34655-1810
Mailing address
401 Howard St
Kalamazoo, MI 49001-2748
Other practice location 1
401 Howard St
Kalamazoo, MI 49001-2748
Phone (269) 344-4458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801096559 | Other | MI | MASTERS LTD SOCIAL WORKER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801096559 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Recovery Network LLC | Current | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
1400 N US Highway 441
Ste 553
The Villages, FL 32159
Phone (352) 205-8514
9332 State Road 54
Ste 307
Trinity, FL 34655
Phone (727) 999-3311
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LifeStance Health
- Psychiatry Physician
- Stockbridge, GA
- NPI 1881990869
FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1467853176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 HOWARD ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490012748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9332 STATE ROAD 54 STE 307",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346551810",
"telephone_number": "833-769-3524"
}
],
"practiceLocations": [
{
"address_1": "401 Howard St",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490012748",
"country_code": "US",
"telephone_number": "269-344-4458",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUGHMAN",
"first_name": "BALYNDA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-12",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801096559",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW17658",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASTERS LTD SOCIAL WORKER",
"identifier": "6801096559",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.