Healthcare Provider Details

I. General information

NPI: 1811806300
Provider Name (Legal Business Name): HOLLY CASEY HAY BAUR LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 3RD ST STE 400
MONUMENT CO
80132-8179
US

IV. Provider business mailing address

7345 ASPEN GLEN LN
COLORADO SPRINGS CO
80919-3027
US

V. Phone/Fax

Practice location:
  • Phone: 719-259-4951
  • Fax:
Mailing address:
  • Phone: 707-239-4886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW.0009927375
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: