Individual
NATALIE R BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
9111 BROADWAY, SUITE N, MERRILLVILLE, IN 46410-8122
(219) 793-1233
(219) 793-1244
Mailing address
9111 BROADWAY, SUITE N, MERRILLVILLE, IN 46410-8122
(219) 793-1233
(219) 793-1244
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004895
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000362029
ANTHEM PROVIDER NUMBER
IN
01
—
785384000
MAGELLAN PROVIDER NUMBER
IN
Enumeration date
09/25/2006
Last updated
07/08/2007
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