Active NPI
Henning Von Bauer, MSW, LCSW
- Clinical Social Worker
- Madison, WI
National Provider Identifier
1730107418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6923-123
- Practice address
- 1320 Mendota St
Ste 106 Props
Madison, WI 53714-1096 - Phone
- (608) 280-3140
- Fax
- (608) 280-3143
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6923-123 | WI | Primary |
Addresses
Primary practice location
1320 Mendota St
Ste 106 Props
Madison, WI 53714-1096
Mailing address
25 Kessel CT
Ste 105
Madison, WI 53711-6227
Phone (608) 280-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40942300 | Medicaid | WI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6923-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychology Clinic Inc. | Past | Accepting new patients | |
| Catholic Charities Inc., Diocese of Madison | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Madison, WI
- NPI 1144702499
-
- Clinic/Center
- Madison, WI
- NPI 1336222769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1730107418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 KESSEL CT",
"address_2": "STE 105",
"city": "MADISON",
"state": "WI",
"postal_code": "537116227",
"telephone_number": "608-280-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 MENDOTA ST",
"address_2": "STE 106 PROPS",
"city": "MADISON",
"state": "WI",
"postal_code": "537141096",
"telephone_number": "608-280-3140",
"fax_number": "608-280-3143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON BAUER",
"first_name": "HENNING",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "6923-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40942300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.