Provider Demographics
NPI:1427342013
Name:BAUMAN, ERIC F (LCSW, CASAC)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:F
Last Name:BAUMAN
Suffix:
Gender:M
Credentials:LCSW, CASAC
Other - Prefix:MR
Other - First Name:ERIC
Other - Middle Name:F
Other - Last Name:BAUMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, CASAC
Mailing Address - Street 1:75 POST AVE
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-4338
Mailing Address - Country:US
Mailing Address - Phone:516-582-0255
Mailing Address - Fax:516-876-4942
Practice Address - Street 1:75 POST AVE
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-4338
Practice Address - Country:US
Practice Address - Phone:516-582-0255
Practice Address - Fax:516-876-4942
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6894101YA0400X
NY0693801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)