David Baumgart, LCSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-39131 Issued in ID

Practice address

1020 S Boulder Hwy
Henderson, NV 89015-8533

Phone

(702) 791-9024

NPI assigned

Jan 23, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Montgomery Counseling Center

  • Mental Health Counselor
  • Nampa, ID
  • NPI 1255412714
  NPD (past)

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1962892372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-791-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S BOULDER HWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158533",
            "telephone_number": "702-791-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGART",
        "first_name": "DAVID",
        "credential": "LCSW, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-23",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "10196",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-39131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel E Batlan, MD, MBA
• Murat Battal
• Christopher Lee Batte, CPRC
• Elizabeth Bauman
• Lori Lee Baumann, BSN
• Reina Bauta Gomez, MEDICAL MASSAGE LMT
• Anna Jane Ramirez Bautista
• Antonnette Bautista
• Atlas Steve Bautista, B.A. PSYCHOLOGY
• Aydee Bautista

• Clinical Social Worker in Henderson, NV
• Providers in Henderson, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.