TARA M BAUMAN (LADC LGSW) – Addiction (Substance Use Disorder) Counselor, NPI 1649311150

TARA M BAUMAN (LADC LGSW) is a healthcare provider. based in Minnetonka, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LADC LGSW. They hold a License No. 302123 (MN). The NPI Number for TARA M BAUMAN (LADC LGSW) is 1649311150

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
TARA M BAUMAN (LADC LGSW)
NPI
1649311150
Phone
(952) 932-7277
Address
15320 MINNETONKA BLVD #200
Enumeration Date
8 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7634164167
Graduation Year
2006 (20 years ago)
PAC ID
5395802953
Group Practice PAC ID
3678596285
Professional Enrollment ID
I20090325000775
Address ID
MN553695656MA7236XNXXX400
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

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for TARA M BAUMAN (LADC LGSW)

  • 15320 MINNETONKA BLVD #200

    MINNETONKA, MN 55345

    Phone: (952) 932-7277

    Fax: (952) 932-9827

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090325000775IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 55345)

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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: 3678596285View full group profile
NameSpecialtyState
Clinical Social WorkerMN
P S Y C H I A T R YMN
Marriage And Family TherapistMN
Nurse PractitionerMN
Clinical Social WorkerMN
Clinical PsychologistMN
Clinical Social WorkerMN
Clinical PsychologistMN
-MN
Clinical PsychologistMN

Reviews

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Frequently asked questions

Can I cross-check TARA M BAUMAN (LADC LGSW) using NPI 1649311150?
NPI 1649311150 belongs to TARA M BAUMAN (LADC LGSW); compare other details if you need extra assurance.
Active or inactive — what applies to TARA M BAUMAN (LADC LGSW)?
You should see TARA M BAUMAN (LADC LGSW) as active in CMS-hosted NPPES data.
What clinical focus is listed for TARA M BAUMAN (LADC LGSW)?
At a glance, TARA M BAUMAN (LADC LGSW) is tied to Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with TARA M BAUMAN (LADC LGSW)?
Directory geography for TARA M BAUMAN (LADC LGSW) centers on Minnetonka, Minnesota.
When was this NPI issued?
Enumeration for TARA M BAUMAN (LADC LGSW) is noted as February 8, 2007 where the registry provides it.

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