Individual provider · Type 1 NPI

Kyra Mae Baumstark, LCSW

Clinical Social Worker · Sparta, NJ

NPI number 1124891072 Active

Practice location

191 Woodport Rd Ste 206
Sparta, NJ 07871-2641

Mailing address

225 Red School Ln Apt J10
Phillipsburg, NJ 08865-2245

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC06241500 (NJ)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1124891072

Kyra Mae Baumstark, LCSW's National Provider Identifier is 1124891072, issued on Nov 2, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sparta, NJ. The record was last updated on Nov 2, 2023.