Individual provider · NPI-1

Brittany Baumhardt, LCSW

Social Worker, Clinical · Port Charlotte, FL

NPI number1811620404
StatusActive
Last updated in NPPESJul 1, 2022

Details

NPI
1811620404
Entity type
Individual (NPI-1)
Name
Brittany Baumhardt
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 1, 2022
Certification date
Jun 29, 2022
Last updated
Jul 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalSW19326FLYes

Practice location

4271 James St
Port Charlotte, FL 33980-8406

Phone 941-276-1301

Mailing address

4274 Golfair Ln
North Port, FL 34288-8775

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