JUSTIN LEE BAUER (LCSW) – Clinical Social Worker, NPI 1508302670

JUSTIN LEE BAUER (LCSW) is a healthcare provider. based in Ridgway, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CW19350 (PA). The NPI Number for JUSTIN LEE BAUER (LCSW) is 1508302670

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN LEE BAUER (LCSW)
NPI
1508302670
Phone
(814) 776-2145
Address
43 SERVIDEA DR
Enumeration Date
13 January 2017
Last Update Date
10 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8147662145
Graduation Year
2014 (12 years ago)
PAC ID
2062796352
Group Practice PAC ID
3870489131
Professional Enrollment ID
I20170306001504
Address ID
PA158536333RI43XXXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,438 CLINICAL SOCIAL WORKER in PA

Provider Addresses for JUSTIN LEE BAUER (LCSW)

  • 43 SERVIDEA DR

    RIDGWAY, PA 158536333

    Phone: (814) 776-2145

    Fax: (814) 776-1470

    Type: Mailing

  • 808 S MICHAEL ST

    SAINT MARYS, PA 158572132

    Phone: (814) 834-9722

    Fax: (814) 834-9723

    Type: Location

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: 2017-03-06

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
I20170306001504IClinical Social WorkerPATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes7312$0
View full utilization report →

Insurance plans in this area (ZIP 15853)

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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: 3870489131View full group profile
NameSpecialtyState
Clinical Social WorkerPA
-NY
Clinical Social WorkerPA
Clinical PsychologistPA
Clinical Social WorkerPA
Physician AssistantPA
Nurse PractitionerPA
Marriage And Family TherapistPA
Clinical Social WorkerPA
Clinical Social WorkerPA

Reviews

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Frequently asked questions

Where can patients find JUSTIN LEE BAUER (LCSW)'s NPI?
You can confirm JUSTIN LEE BAUER (LCSW) with NPI 1508302670; it appears in the national provider directory.
Is JUSTIN LEE BAUER (LCSW) active in the national directory?
JUSTIN LEE BAUER (LCSW)'s public NPI profile is in an active state.
What kind of provider is JUSTIN LEE BAUER (LCSW)?
The page reflects Clinical Social Worker for JUSTIN LEE BAUER (LCSW). Clinical services aligned with this taxonomy classification.
Where does public data place JUSTIN LEE BAUER (LCSW)?
The snapshot lists Ridgway, Pennsylvania for JUSTIN LEE BAUER (LCSW); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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