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KIM CHAN-BAERMAN LCSW LLC
NPI 1417590977
Social Worker - Clinical in Galloway, NJ

Active since October 28, 2019
309 S NEW YORK RD STE 12, GALLOWAY, NJ 08205(609) 992-8293(609) 382-7777 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kim Chan-baerman Lcsw Llc NPPES

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

KIM CHAN-BAERMAN LCSW LLC (NPI 1417590977) is a healthcare organization registered as a clinical in Galloway, New Jersey and active in the NPI registry since October 2019. The organization lists Kim Chan-baerman, Owner, as its authorized official.

NPPES Registry Identity

NPI1417590977
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKIM CHAN-BAERMAN LCSW LLC
Location Address309 S NEW YORK RD STE 12Galloway, NJ 08205-6024
Mailing Address309 S New York Rd Ste 12Galloway, NJ 08205-6024 · (609) 992-8293 · Fax (609) 382-7777
Phone(609) 992-8293
Fax(609) 382-7777
Organization SubpartNo
Authorized OfficialKim Chan-baermanOwner · (609) 800-2024
Enumeration DateOctober 28, 2019
✔ NPI 1417590977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
309 S NEW YORK RD STE 12, Galloway, NJ 08205
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Chan-baerman Lcsw Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kim Chan-Baerman Lcsw LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kim Chan-Baerman, LCSW
Clinical Social Worker
NPI 1013446756
830 BEAR TAVERN RD
Ewing, NJ 08628
(800) 370-3651
✔ PECOS✔ Accepts Medicare60 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kim Chan-Baerman Lcsw LLC's NPI number?

The NPI number for Kim Chan-Baerman Lcsw LLC is 1417590977. It was assigned to this organization in the NPPES registry on October 28, 2019.

Where is Kim Chan-Baerman Lcsw LLC located?

Kim Chan-Baerman Lcsw LLC is located at 309 S New York Rd Ste 12, Galloway, NJ 08205. The listed phone number is (609) 992-8293.

What is Kim Chan-Baerman Lcsw LLC's specialty?

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

Is Kim Chan-Baerman Lcsw LLC enrolled in Medicare?

Yes. Kim Chan-Baerman Lcsw LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kim Chan-Baerman Lcsw LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Kim Chan-Baerman Lcsw LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kim Chan-Baerman Lcsw LLC was last updated on October 28, 2019. 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.