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NPI Code Detail

MEDICARE: NICOLE BAUMGARTNER

MEDICARE: NICOLE BAUMGARTNER
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1801542667
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE BAUMGARTNER
Provider Business Mailing Address
First Line : 11 SAGAMORE LN UNIT 104
Second Line :
City : ROCKY HILL
State : CT
Zip : 06067-3847
Country : US
Telephone Number : 707-631-5288
Fax Number :
Provider Business Practice Location Address
First Line : 1 HOPE ST
Second Line :
City : BRISTOL
State : CT
Zip : 06010-6374
Country : US
Telephone Number : 707-631-5288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2022
Last Update Date : 06/17/2025

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Directions to “ NICOLE BAUMGARTNER ” Practice Location

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