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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JILL BAUMGARTNER
NPI 1487077228
Social Worker - Clinical in San Diego, CA

Active since January 30, 2014Opted out of Medicare · through Oct 1, 2026
864 GRAND AVE # 874, SAN DIEGO, CA 92109(858) 633-3142 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 28, 2016, Dec 21, 2015 (2 updates tracked since 2015).

About Jill Baumgartner NPPES

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

JILL BAUMGARTNER (NPI 1487077228) is an individual clinical provider in San Diego, California, licensed in California (69899) and active in the NPI registry since January 2014. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1487077228
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJILL BAUMGARTNER
Location Address864 GRAND AVE # 874San Diego, CA 92109-3906
Mailing Address864 Grand Ave # 874San Diego, CA 92109-3906 · (858) 633-3142
Phone(858) 633-3142
Sole ProprietorYes
Enumeration DateJanuary 30, 2014
Last NPPES UpdateJune 26, 20262 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1487077228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · 69899✔ Licensed in VA · 0904008501
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.
864 GRAND AVE # 874, San Diego, CA 92109
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jill Baumgartner 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 October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Jill Baumgartner's NPI number?

The NPI number for Jill Baumgartner is 1487077228. It was assigned to this individual provider in the NPPES registry on January 30, 2014.

Where is Jill Baumgartner located?

Jill Baumgartner practices at 864 Grand Ave # 874, San Diego, CA 92109. The listed phone number is (858) 633-3142.

What is Jill Baumgartner's specialty?

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

Is Jill Baumgartner enrolled in Medicare?

No. Jill Baumgartner has opted out of Medicare through October 1, 2026. 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 Jill Baumgartner was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.