Active NPI
Elizabeth Bauman, LCSW
- Clinical Social Worker
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09929073
- Practice address
- 4090 Briargate Pkwy
Colorado Springs, CO 80920-7815 - Phone
- (720) 777-6200
- NPI assigned
- May 15, 2019
- Last updated
- Oct 25, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 8418 | TN | |
| Clinical Social Worker | 1041C0700X | CSW.09929073 | CO | Primary |
Addresses
Primary practice location
4090 Briargate Pkwy
Colorado Springs, CO 80920-7815
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Other practice location 1
1704 E Broadway Ave
Maryville, TN 37804-2916
Phone (865) 681-6990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09929073 | CO | MD | Clinical Social Worker |
| 8418 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Colorado | Clinical | Current | Accepting new patients |
| University Physicians, Incorporated | Current | Accepting new patients | |
| Helen Ross McNabb Center | Current | Accepting new patients | |
| University Physicians Incorporated | Current | Accepting new patients | |
| University Physicians Incorporated | Current | Accepting new patients |
Locations
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
4090 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 305-1234
Dept 1061
Denver, CO 80256
200 Tech Center Dr
Knoxville, TN 37912
Phone (865) 367-9711
201 W Springdale Ave
Knoxville, TN 37917
Phone (865) 329-9173
1704 E Broadway Ave
Maryville, TN 37804
Phone (865) 681-6990
Interoperability endpoints
- ebauman277227@direct.childrenscolorado.org
Organizations & group practices 5
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.
-
dba CU Medicine
- Internal Medicine Physician
- Aurora, CO
- NPI 1962461889
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Knoxville, TN
- NPI 1659330686
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
dba Cu Medicine
- Obstetrics & Gynecology Physician
- Denver, CO
- NPI 1750048880
-
dba CU Sports Medicine Colorado Center
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1275045049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1679139612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4090 BRIARGATE PKWY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207815",
"telephone_number": "720-777-6200"
}
],
"practiceLocations": [
{
"address_1": "1704 E Broadway Ave",
"address_purpose": "LOCATION",
"city": "Maryville",
"state": "TN",
"postal_code": "378042916",
"country_code": "US",
"telephone_number": "865-681-6990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUMAN",
"first_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-15",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "8418",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09929073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.