Justin Lee Bauer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW19350 Issued in PA

Practice address

808 S Michael St
Saint Marys, PA 15857-2132

Phone

(814) 834-9722

Fax

(814) 834-9723

NPI assigned

Jan 13, 2017

Sex

Male

Sole proprietor

No

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 PA

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dickinson Center, IncGroup PAC ID 3870489131, 11 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Dickinson Center, Inc

  • Community/Behavioral Health Agency
  • Ridgway, PA
  • NPI 1164503322
  Medicare reassignment Care Compare group NPD
• Channel of Peace Counseling, LLC

  • Clinical Social Worker
  • Saint Marys, PA
  • NPI 1184553612
  NPD Authorized official

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1508302670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SERVIDEA DR",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158536333",
            "telephone_number": "814-776-2145",
            "fax_number": "814-776-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S MICHAEL ST",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158572132",
            "telephone_number": "814-834-9722",
            "fax_number": "814-834-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "JUSTIN",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW19350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back to Life Chiropractic
• Walter Ed Badeau, LPC, CAC
• Thomas Murray Baker, M.D.
• Heather Bankovic, RPH
• Jennie Lynn Barr, CPHT
• Kathryn Bauer
• Lisa Bauer, C.R.N.P.
• Bauer'S All About Kids LLC
• Be Transformed Christian Counseling, Inc
• Molly A Beimel, PHARM.D.

• Clinical Social Worker in Saint Marys, PA
• Providers in Saint Marys, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.