Provider Demographics
NPI:1477672236
Name:BAIER, ARMIN R JR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ARMIN
Middle Name:R
Last Name:BAIER
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:ARMIN
Other - Middle Name:
Other - Last Name:BAIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1041 N BUNDY DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-1510
Mailing Address - Country:US
Mailing Address - Phone:917-549-3385
Mailing Address - Fax:
Practice Address - Street 1:1041 N BUNDY DR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-1510
Practice Address - Country:US
Practice Address - Phone:917-549-3385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR037991-11041C0700X
CALCS 257551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02515355Medicaid
NY02515355Medicaid