MEDICARE: LAURA SUSAN BAER L.C.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	090401839	VA
2	1041C0700X	Clinical Social Worker	132335	IA
3	1041C0700X	Clinical Social Worker	17787	SC
4	1041C0700X	Clinical Social Worker	53	CO
5	1041C0700X	Clinical Social Worker	LICSW1141095	MA

General Provider Information

NPI Number	:	1306935960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA SUSAN BAER L.C.S.W.

Provider Business Mailing Address
First Line	:	1420 S IVY WAY
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80224-1927
Country	:	US
Telephone Number	:	720-280-1230
Fax Number	:

Provider Business Practice Location Address
First Line	:	1420 S IVY WAY
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80224-1927
Country	:	US
Telephone Number	:	720-280-1230
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	04/22/2026

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