Active NPI
Emily Bauerle, LMSW
- Clinical Social Worker
- Flagstaff, AZ
National Provider Identifier
1760948046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-19548
- Practice address
- 3009 N West St
Flagstaff, AZ 86004 - Phone
- (928) 719-4009
- NPI assigned
- Feb 12, 2019
- 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 | 17312 | AZ | |
| Clinical Social Worker | 1041C0700X | LCSW-19548 | AZ | Primary |
Addresses
Primary practice location
3009 N West St
Flagstaff, AZ 86004
Mailing address
3009 N West St
Flagstaff, AZ 86004-3444
Phone (928) 719-4009
Other practice location 1
2028 N 4th St
Flagstaff, AZ 86004-4228
Phone (406) 404-6133
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emilybauerle@rccflagstaff.com | Direct |
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 |
|---|---|---|---|
| 17312 | AZ | MD | Clinical Social Worker |
| LCSW-19548 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redemption Counseling Center | Clinical | Current | Accepting new patients |
Locations
3009 N West St
Flagstaff, AZ 86004
Phone 9287194009 ext. 3
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1760948046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 N WEST ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860043444",
"telephone_number": "928-719-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 N WEST ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "86004",
"telephone_number": "928-719-4009"
}
],
"practiceLocations": [
{
"address_1": "2028 N 4th St",
"address_purpose": "LOCATION",
"city": "Flagstaff",
"state": "AZ",
"postal_code": "860044228",
"country_code": "US",
"telephone_number": "406-404-6133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUERLE",
"first_name": "EMILY",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-12",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "17312",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-19548",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "emilybauerle@rccflagstaff.com",
"affiliation": "N",
"endpointDescription": "ENB E-mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email-work",
"address_1": "3009 N West St",
"city": "Flagstaff",
"state": "AZ",
"country_code": "US",
"postal_code": "860043444",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.