Provider Demographics
NPI:1598167702
Name:BAUGH, STACY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:STACY
Middle Name:
Last Name:BAUGH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 BENNEY LN
Mailing Address - Street 2:SUITE B103
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620
Mailing Address - Country:US
Mailing Address - Phone:512-608-7071
Mailing Address - Fax:
Practice Address - Street 1:131 BENNEY LN
Practice Address - Street 2:SUITE B103
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-5267
Practice Address - Country:US
Practice Address - Phone:512-608-7071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-18
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX502681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical