Heather Christin Baucum, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L7204 Issued in OR

Practice address

8525 N Lombard St Ste 204
Portland, OR 97203-3156

Phone

(971) 523-0390

Fax

(971) 350-3385

NPI assigned

Jul 20, 2017

Last updated

Mar 31, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tiffany Kettermann, LLC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1003461740
  Medicare reassignment NPD

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1467975516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 N LOMBARD ST STE 204",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972033156",
            "telephone_number": "971-523-0390",
            "fax_number": "971-350-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 N LOMBARD ST STE 204",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972033156",
            "telephone_number": "971-523-0390",
            "fax_number": "971-350-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUCUM",
        "first_name": "HEATHER",
        "middle_name": "CHRISTIN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Jeanne Battis, RN
• Eleanor Battison, M.S., LPC
• Shannon Batts, M.S, L.M.F.T., LPC
• Allison Batty-Capps, MA, LMFT
• Cem Batuman, MD
• Kelly Lynn Baucum, LAC
• Brianna Louise Bauder
• Carson C Bauder, MD
• Abbie Ruth Bauer, M.D. M.S.
• Alexandria Gail Bauer, LPC

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.

Verify at the official NPI Registry.