Provider Demographics
NPI:1841322112
Name:BAUM, WILL (LCSW)
Entity type:Individual
Prefix:MR
First Name:WILL
Middle Name:
Last Name:BAUM
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2658 GRIFFITH PARK BLVD
Mailing Address - Street 2:#717
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-2520
Mailing Address - Country:US
Mailing Address - Phone:323-610-0112
Mailing Address - Fax:
Practice Address - Street 1:437 S ROBERTSON BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3603
Practice Address - Country:US
Practice Address - Phone:323-610-0112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS259701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical