BALYNDA BAUGHMAN LCSW
NPI 1467853176
Social Worker - Clinical in New Port Richey, FL

Active since September 12, 2014PECOS Enrolled
9332 STATE ROAD 54 STE 307, NEW PORT RICHEY, FL 34655(833) 769-3524 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Balynda Baughman Lcsw NPPES

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

BALYNDA BAUGHMAN LCSW (NPI 1467853176) is an individual clinical provider in New Port Richey, Florida, licensed in Florida (SW17658) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kalamazoo.

NPPES Registry Identity

NPI1467853176
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBALYNDA BAUGHMANCredential: LCSW
Location Address9332 STATE ROAD 54 STE 307New Port Richey, FL 34655-1810
Mailing Address401 Howard StKalamazoo, MI 49001-2748
Sole ProprietorYes
Enumeration DateSeptember 12, 2014
Last NPPES UpdateMay 2, 2024
NPPES CertifiedMay 2, 2024
✔ NPI 1467853176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW17658
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 6801096559 (MI)
9332 STATE ROAD 54 STE 307, New Port Richey, FL 34655

Secondary Practice Location 1

Location 1401 Howard StKalamazoo, MI 49001-2748 · Phone (269) 344-4458

Other Identifiers 1

Other6801096559MI · Masters Ltd Social Worker

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Balynda Baughman Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Balynda Baughman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Florida enrollment
  • 408 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Psychiatric/Mental Health)
9332 STATE ROAD 54 STE 307
NEW PORT RICHEY, FL 34655
Psychiatry & Neurology (Psychiatry)
9332 STATE ROAD 54 STE 307
TRINITY, FL 34655
Counselor (Mental Health)
9332 STATE ROAD 54 STE 307
NEW PORT RICHEY, FL 34655
Counselor (Mental Health)
9332 STATE ROAD 54 STE 307
TRINITY, FL 34655
Counselor (Mental Health)
9332 STATE ROAD 54 STE 307
NEW PORT RICHEY, FL 34655
Counselor (Mental Health)
9332 STATE ROAD 54 STE 307
NEW PORT RICHEY, FL 34655
Social Worker (Clinical)
9332 STATE ROAD 54 STE 307
NEW PORT RICHEY, FL 34655
Social Worker (Clinical)
9332 STATE ROAD 54 STE 307
NEW PORT RICHEY, FL 34655

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 Balynda Baughman's NPI number?

The NPI number for Balynda Baughman is 1467853176. It was assigned to this individual provider in the NPPES registry on September 12, 2014.

Where is Balynda Baughman located?

Balynda Baughman practices at 9332 State Road 54 Ste 307, New Port Richey, FL 34655. The listed phone number is (833) 769-3524.

What is Balynda Baughman's specialty?

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

Is Balynda Baughman enrolled in Medicare?

Yes. Balynda Baughman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Balynda Baughman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Balynda Baughman reassigns Medicare benefits to Personal Recovery Network LLC (Stockbridge, GA). The 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 Balynda Baughman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Balynda Baughman accept?

Health plans from UnitedHealthcare list Balynda Baughman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Balynda Baughman was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.