MEDICARE: MAX BAUMKEL

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	126687	MA

General Provider Information

NPI Number	:	1396264420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAX BAUMKEL

Provider Business Mailing Address
First Line	:	49 GOTHIC ST # 10
Second Line	:
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-3047
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	49 GOTHIC ST # 10
Second Line	:
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-3047
Country	:	US
Telephone Number	:	413-570-0623
Fax Number	:

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

Provider Enumeration Date	:	09/09/2017
Last Update Date	:	01/26/2026

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Directions to “ MAX BAUMKEL ” Practice Location

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