Provider Demographics
NPI:1891871794
Name:BAUMANN, KAREN SUE (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:BAUMANN
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 1:3407 AMBLESIDE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-3101
Mailing Address - Country:US
Mailing Address - Phone:512-828-7947
Mailing Address - Fax:
Practice Address - Street 1:201 W ELM AVE
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-8915
Practice Address - Country:US
Practice Address - Phone:919-579-7481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 190301041C0700X
NCC0095061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical