Mary Grace Baumgartner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8552-123 Issued in WI

Practice address

1412 Ridgewood Dr
West Bend, WI 53095-5501

Phone

(314) 974-7040

NPI assigned

Aug 2, 2014

Last updated

Jan 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Feb 28, 2022 through Feb 29, 2028

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1406937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1902215049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 RIDGEWOOD DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530955501",
            "telephone_number": "314-974-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 RIDGEWOOD DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530955501",
            "telephone_number": "314-974-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARTNER",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-02",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8552-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ann Bath, RN
• Erin Bauer
• Kassandra Bauman, OTR/L
• Roxanne Lynn Baumann, PTA
• Vanessa Baumann, BSCJ, SAC-IT
• Nickole Becker, LPC-IT
• B J Beckerrn, RN
• Constance Bednar, OTR
• Dawn M. Bednarek, P.T.A.
• Jerold J Beerends, MD

• Clinical Social Worker in West Bend, WI
• Providers in West Bend, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.