Kailee Bauman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10070-C Issued in AR

Practice address

1116 S Walton Blvd Ste 201
Bentonville, AR 72712-6107

Phone

(479) 316-7770

NPI assigned

Jun 8, 2023

Last updated

Jun 8, 2023By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1730873985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 S 12TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727586306",
            "telephone_number": "479-259-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 S WALTON BLVD STE 201",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126107",
            "telephone_number": "479-316-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "KAILEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "10070-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine D Barton, MD
• Paula Barton, BS PHARMD JD
• Shweta S Basnyat
• Clarissa Basora
• Tyler Lloyd Bates
• Flordeliza Ople Bautista, OTR
• Hanna Kathryn Baxendale, APRN
• BC Health and Wellness LLC
• Justin Beagley, D.C.
• Katie Beal, MD

• Clinical Social Worker in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.