Individual provider Active NPI

Kelly Marie Bauman, LCSW

  • Clinical Social Worker
  • Maplewood, MO
National Provider Identifier
1952955338
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2018038119 Issued in MO
Practice address
3155 Sutton Blvd Ste 201
Maplewood, MO 63143-3917
Phone
(314) 781-7900
NPI assigned
Jul 24, 2019
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2018038119 MO Primary

Addresses

Primary practice location

3155 Sutton Blvd Ste 201
Maplewood, MO 63143-3917

Mailing address

2073 Silverwood LN
Chesterfield, MO 63017-7425
Phone (516) 729-7308

Other practice location 1

2073 Silverwood Ln
Chesterfield, MO 63017-7425
Phone (516) 729-7308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190812002673 MO Practitioner - Clinical Social Worker 3476880519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Bridges Community Support ServicesGroup PAC ID 2961418629, 8 clinicians

Practice addresses (Care Compare)

3155 Sutton Blvd
Suite 201
Maplewood, MO 63143-3917
Phone (314) 781-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly M Bauman LCSW LLC Clinical Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1952955338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 SILVERWOOD LN",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177425",
            "telephone_number": "516-729-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 SUTTON BLVD STE 201",
            "city": "MAPLEWOOD",
            "state": "MO",
            "postal_code": "631433917",
            "telephone_number": "314-781-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2073 Silverwood Ln",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630177425",
            "country_code": "US",
            "telephone_number": "516-729-7308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018038119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MO

Sources for this page

Verify at the official NPI Registry.