Provider Demographics
NPI:1699393009
Name:BAUMANN, ABIGAIL ANNE (MSW, LISW)
Entity Type:Individual
Prefix:MISS
First Name:ABIGAIL
Middle Name:ANNE
Last Name:BAUMANN
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 CROSS POINTE RD STE G
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-7045
Mailing Address - Country:US
Mailing Address - Phone:937-409-8820
Mailing Address - Fax:
Practice Address - Street 1:755 CROSS POINTE RD STE G
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-7045
Practice Address - Country:US
Practice Address - Phone:937-409-8820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-12
Last Update Date:2020-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1901986104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker