1. Home
  2. Directory
  3. California
  4. Oakland
  5. Social Worker
  6. NPI Profile

KELLY ERIN GLAZER BALDWIN LCSW
NPI 1417585928
Social Worker - Clinical in Oakland, CA

Active since March 30, 2020Opted out of Medicare · through Jun 23, 2027
400 29TH ST STE 514, OAKLAND, CA 94609(415) 310-2550 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Erin Glazer Baldwin Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ERIN GLAZER BALDWIN LCSW (NPI 1417585928) is an individual clinical provider in Oakland, California, licensed in California (28097) and active in the NPI registry since March 2020. She has opted out of Medicare through June 23, 2027.

NPPES Registry Identity

NPI1417585928
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY ERIN GLAZER BALDWINCredential: LCSW
Location Address400 29TH ST STE 514Oakland, CA 94609-3550
Mailing Address1024 Harvard RdPiedmont, CA 94610-1162 · (415) 310-2550
Phone(415) 310-2550
Sole ProprietorYes
Enumeration DateMarch 30, 2020
NPPES CertifiedMarch 30, 2020
✔ NPI 1417585928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 28097
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
400 29TH ST STE 514, Oakland, CA 94609
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kelly Erin Glazer Baldwin Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 23, 2025 through June 23, 2027.

Opt-Out Effective DateJune 23, 2025
Opt-Out In Effect ThroughJune 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. VANESSA HERNANDEZ LMFT
Marriage & Family Therapist
400 29TH ST STE 514
OAKLAND, CA 94609
Alameda County (415) 254-4432

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Glazer Baldwin's NPI number?

The NPI number for Kelly Glazer Baldwin is 1417585928. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Kelly Glazer Baldwin located?

Kelly Glazer Baldwin practices at 400 29th St Ste 514, Oakland, CA 94609. The listed phone number is (415) 310-2550.

What is Kelly Glazer Baldwin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kelly Glazer Baldwin enrolled in Medicare?

No. Kelly Glazer Baldwin has opted out of Medicare through June 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kelly Glazer Baldwin was last updated on March 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.