Individual provider · Type 1 NPI

Ilesa Bauer

Clinical Social Worker · Richmond, VA

NPI number 1366370702 Active

Practice location

2025 E Main St Ste 104
Richmond, VA 23223-7072

Call (804) 220-0564 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904020321 (VA)

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 1366370702

Ilesa Bauer's National Provider Identifier is 1366370702, issued on May 13, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Richmond, VA. The record was last updated on May 13, 2026.