MEDICARE: MR. ARMIN R BAIER JR. LCSW

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	R037991-1	NY
2	1041C0700X	Clinical Social Worker	LCS 25755	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477672236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ARMIN R BAIER JR. LCSW

Provider Business Mailing Address
First Line	:	1041 N BUNDY DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-1510
Country	:	US
Telephone Number	:	917-549-3385
Fax Number	:

Provider Business Practice Location Address
First Line	:	1041 N BUNDY DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-1510
Country	:	US
Telephone Number	:	917-549-3385
Fax Number	:

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

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	01/31/2011

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