Organization Active NPI

Kelly M Bauman LCSW LLC

  • Clinical Social Worker
  • Chesterfield, MO
National Provider Identifier
1720945454
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KELLY M BAUMAN LCSW LLC
Practice address
2073 Silverwood LN
Chesterfield, MO 63017-7425
Phone
(516) 729-7308
NPI assigned
Jan 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Kelly BaumanNPI 1952955338
Title
LCSW
Phone
(516) 729-7308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2073 Silverwood LN
Chesterfield, MO 63017-7425

Mailing address

2073 Silverwood LN
Chesterfield, MO 63017-7425

Other identifiers 1

IdentifierTypeStateIssuer
1952955338OtherMONPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1720945454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 SILVERWOOD LN",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 SILVERWOOD LN",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177425",
            "telephone_number": "516-729-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY M BAUMAN LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "BAUMAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "516-729-7308"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952955338",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.