Doctor Name: | MRS. AMY MARIE BAUM |
NPI Number: | 1780090746 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC05385600 |
Business Practice Address: | 286 Mantua Grove Rd West Deptford, NJ - 080661738 |
Business Phone Number: | 8565996217 |
Business Fax Number: | 8565996401 |
Mailing Address: | 286 Mantua Grove Rd, WEST DEPTFORD |
State: | NJ |
Postal Code: | 080661738 |
Phone Number: | 8565996217 |
Fax Number: | 8565996401 |
NPI Enumeration Date: | 07/10/2014 |
NPI Last Update Date: | 07/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05385600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |