Provider Demographics
NPI:1114400835
Name:BAUMGARTEN, CAREY WINSLOW (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:CAREY
Middle Name:WINSLOW
Last Name:BAUMGARTEN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 CROWFIELDS LN
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-3298
Mailing Address - Country:US
Mailing Address - Phone:781-351-2838
Mailing Address - Fax:
Practice Address - Street 1:519 CROWFIELDS LN
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-3298
Practice Address - Country:US
Practice Address - Phone:781-351-2838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-09
Last Update Date:2018-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0088341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical