Active NPIIndividual provider

Shannon M Baumgarten

Social Worker, Clinical in Hartford, Connecticut

NPI Number1487099966
Practice location
500 Blue Hills Ave, Hartford, CT 06112-1500
Fax
—
Last updated
January 20, 2025

Shannon Marie Baumgarten is a Social Worker, Clinical based in Hartford, CT. Shannon Marie Baumgarten practices in Hartford, CT. The NPI Number for Shannon Marie Baumgarten is 1487099966 and holds a License No. 122629 (MA). The current practice location address for Shannon Marie Baumgarten is 500 Blue Hills Ave, Hartford, CT 06112-1500 and can be reached out via phone at 860-714-2543.

Provider Profile Details

NPI Number
1487099966
Provider Name
Shannon Marie Baumgarten
Provider Entity Type
Individual
Gender
Female
Address
500 Blue Hills Ave, Hartford, CT 06112-1500
Phone Number
860-714-2543
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
May 9, 2013
Last Update Date
January 20, 2025
Certification Date
January 20, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 Blue Hills Ave
Hartford, CT 06112-1500
Zip
06112-1500
Phone Number
860-714-2543
Hartford, CT 06112Get directions →

Provider Business Mailing Address Details

Address
110 Maple St
Springfield, MA 01105-1864
City
Springfield
State
MA
Zip
01105-1864
Phone Number
413-732-7419
Fax Number
413-781-1059

License Information

License Number (1)
122629
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
12493
License State (2)
CT
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shannon M Baumgarten?

The NPI number of Shannon M Baumgarten is 1487099966. It was assigned on May 9, 2013 and is currently active in the NPPES registry.

What is the specialty of Shannon M Baumgarten?

Shannon M Baumgarten is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 122629.

Where does Shannon M Baumgarten practice?

The practice location is 500 Blue Hills Ave, Hartford, CT 06112-1500. The office can be reached at 860-714-2543 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487099966 directly on the NPPES registry website.

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