Individual provider Active NPI

Gemma Baugh, LISW

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1497302590
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2405502 Issued in OH
Practice address
3401 Enterprise Pkwy Ste 250
Beachwood, OH 44122-7343
Phone
(919) 230-8596
Fax
(216) 765-0521
NPI assigned
Aug 22, 2019
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2405502 OH Primary

Addresses

Primary practice location

3401 Enterprise Pkwy Ste 250
Beachwood, OH 44122-7343

Mailing address

3401 Enterprise Pkwy Ste 250
Beachwood, OH 44122-7343
Phone (919) 230-8596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240923001735 OH Practitioner - Clinical Social Worker 3375084916 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Program P C CurrentSince Jun 9, 2024 Accepting new patients
Emily Program PC Past Accepting new patients

Locations

1295 Bandana Blvd N
Ste 210
Saint Paul, MN 55108
Phone 8883645977324

2265 Como Ave
Saint Paul, MN 55108

3401 Enterprise Pkwy
Ste 250
Beachwood, OH 44122
Phone (216) 765-0500

8001 Ravines Edge Ct
Columbus, OH 43235
Phone (614) 444-0800

8001 Ravines Edge Ct
Ste 201
Columbus, OH 43235
Phone (614) 896-8222

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1497302590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 ENTERPRISE PKWY STE 250",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227343",
            "telephone_number": "919-230-8596",
            "fax_number": "216-765-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 ENTERPRISE PKWY STE 250",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227343",
            "telephone_number": "919-230-8596",
            "fax_number": "216-765-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGH",
        "first_name": "GEMMA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.