Healthcare Provider Details

I. General information

NPI: 1134047319
Provider Name (Legal Business Name): CATHRYN BAUMGARTNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CATHRYN HENNING

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1227 W 27TH ST
CEDAR FALLS IA
50614-0221
US

IV. Provider business mailing address

1227 W 27TH ST
CEDAR FALLS IA
50614-0221
US

V. Phone/Fax

Practice location:
  • Phone: 319-273-2009
  • Fax: 319-273-7030
Mailing address:
  • Phone: 319-273-2009
  • Fax: 319-273-7030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number007100
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: