Active NPI
Nicole Baum, LSW
- Social Worker
- Medina, OH
National Provider Identifier
1770301673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2614625
- Practice address
- 1621 Medina Rd
Medina, OH 44256-5333 - Phone
- (330) 241-4444
- NPI assigned
- Sep 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2614625 | OH | Primary |
Addresses
Primary practice location
1621 Medina Rd
Medina, OH 44256-5333
Mailing address
1621 Medina Rd
Medina, OH 44256-5333
Phone (330) 241-4444
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 |
|---|---|---|---|
| S.2504490-TRNE | OH | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1770301673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 MEDINA RD",
"city": "MEDINA",
"state": "OH",
"postal_code": "442565333",
"telephone_number": "330-241-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 MEDINA RD",
"city": "MEDINA",
"state": "OH",
"postal_code": "442565333",
"telephone_number": "330-241-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUM",
"first_name": "NICOLE",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-30",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2614625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
- Margit Batizy, PA-C
- Carly Battaglia, LPCC
- Candyce Lynn Bauer-Rick, LPN
- Kecia Bauer
- Thomas Michael Bauer, R.PH.
- Karen S Bauman, LISW-S
- BCC Medina Operations, LLC (Elmcroft of Medina)
- BD Camelot Opco, LLC (Brookdale Camelot Medina)
- BD Medina South Opco LLC (Brookdale Medina South)
- BD Medina South Opco, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.