DIANE ELIZABETH BAUER (LICSW) – Social Worker, NPI 1053492520

Social Worker

DIANE ELIZABETH BAUER (LICSW) is a healthcare provider. based in White bear lake, Minnesota. specializing in Social Worker. They hold the professional credentials LICSW. They hold a License No. 2107 (MN). The NPI Number for DIANE ELIZABETH BAUER (LICSW) is 1053492520

Main info

Female

Sole Proprietor

48 Years Of Experience

Accepts Medicare Assignment

Name

DIANE ELIZABETH BAUER (LICSW)

NPI

1053492520

Phone

(651) 426-8191

Address

4505 WHITE BEAR PKWY

Enumeration Date

18 October 2006

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6512893111

Graduation Year

1978 (48 years ago)

PAC ID

6800198946

Group Practice PAC ID

0547391187

Professional Enrollment ID

I20160107000488

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DIANE ELIZABETH BAUER (LICSW)

4505, White Bear Parkway, White Bear Lake, Ramsey County, Minnesota, 55110, United States
SUITE 1800
WHITE BEAR LAKE, MN 551103678
Phone: (651) 426-8191
Fax: (651) 426-6766
Type: Location
1213, Silverwood Road, The Seasons, Woodbury, Washington County, Minnesota, 55125, United States
WOODBURY, MN 551258684
Phone: (651) 731-1196
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 0547391187View full group profile

Name	Specialty	State
STEVEN MORRIS SMITH (PSYD LP)	Clinical Psychologist	MN
NICHOLAS WILLIAM VORPAHL (MA, LPCC)	Mental Health Counselor	MN
JARI LYNN WELLE (LMFT)	Marriage And Family Therapist	MN
DR. JAMES S ANTHONY (PHD, LP)	Clinical Psychologist	MN
JAMES CONTOIS	Clinical Social Worker	MN
JOLENE MARIE METCALF (LICSW)	Clinical Social Worker	MN
REBECCA QUINTELA-SMITH (M.A.)	Mental Health Counselor	MN
ALYSSA DEUTSCHMANN (BCBA, LSW)	Clinical Social Worker	MI
ANN SCHISSEL	-	MN
MS. KIMBERLY ANN LUNDHOLM-EADES (M.S., LMFT)	Marriage And Family Therapist	MN