Grace A Baumgarten, LCSW
Individual provider Active NPI Clinical Social Worker · Upper Montclair, NJ
NPI 1487796538 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487796538
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SC03072 (NJ)
- Practice address
- 218 Lorraine Ave
Upper Montclair, NJ 07043-1915 - Phone
- (973) 746-7731
- Fax
- (973) 746-0156
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
218 Lorraine Ave
FL 2
Upper Montclair, NJ 07043-1915
Phone (973) 632-1306
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050412000938 | NJ | Practitioner - Clinical Social Worker | 2961449830 | Practice locations: Upper Montclair, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC03072 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC03072 | NJ | Yes |
Addresses
Primary practice location
218 Lorraine Ave
Upper Montclair, NJ 07043-1915
Mailing address
218 Lorraine Ave
Upper Montclair, NJ 07043-1915
Phone (973) 746-7731
Other providers in Upper Montclair, NJ
- Alison Weiner, M.D., P.C.
- Mariam Ammar
- Gail Fran Azar
- Dayna Bandman
- Believe
- Michael H. Bell
- Geraldine Sarah Best
- Pamela B Borman
- David I. Brandt
All providers in Upper Montclair, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.