Provider Demographics
NPI:1962711309
Name:BAUMIS, CAROLINE A (MSW)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:A
Last Name:BAUMIS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 GARRETT PL
Mailing Address - Street 2:1I
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-2951
Mailing Address - Country:US
Mailing Address - Phone:917-363-5154
Mailing Address - Fax:
Practice Address - Street 1:1 GARRETT PLACE
Practice Address - Street 2:1I
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708
Practice Address - Country:US
Practice Address - Phone:917-363-5154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-04
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY063648104100000X
NY554026382171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker