Active NPI
Kimberly D Baumgartner, LCSW-C, LICSW
- Clinical Social Worker
- Silver Spring, MD
National Provider Identifier
1538738547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23434
- Practice address
- 13919 Overton LN
Silver Spring, MD 20904-1130 - Phone
- (240) 670-5577
- NPI assigned
- Jun 23, 2021
- Last updated
- Jun 23, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50082687 | DC | |
| Clinical Social Worker | 1041C0700X | 23434 | MD | Primary |
Addresses
Primary practice location
13919 Overton LN
Silver Spring, MD 20904-1130
Mailing address
13919 Overton LN
Silver Spring, MD 20904-1130
Phone (410) 330-4366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50082687 | DC | MD | Clinical Social Worker |
| 23434 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1538738547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13919 OVERTON LN",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041130",
"telephone_number": "410-330-4366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13919 OVERTON LN",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041130",
"telephone_number": "240-670-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMGARTNER",
"first_name": "KIMBERLY",
"middle_name": "D",
"credential": "LCSW-C, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50082687",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "23434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.