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GRACE A BAUMGARTEN LCSW
NPI 1487796538
Social Worker - Clinical in Upper Montclair, NJ

Active since February 13, 2007PECOS EnrolledAccepts Medicare Assignment
218 LORRAINE AVE, UPPER MONTCLAIR, NJ 07043(973) 746-7731(973) 746-0156 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace A Baumgarten Lcsw NPPES

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

GRACE A BAUMGARTEN LCSW (NPI 1487796538) is an individual clinical provider in Upper Montclair, New Jersey, licensed in New Jersey (SC03072) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1487796538
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGRACE A BAUMGARTENCredential: LCSW
Location Address218 LORRAINE AVEUpper Montclair, NJ 07043-1915
Mailing Address218 Lorraine AveUpper Montclair, NJ 07043-1915 · (973) 746-7731 · Fax (973) 746-0156
Phone(973) 746-7731
Fax(973) 746-0156
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1487796538 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 NJ · SC03072
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.
218 LORRAINE AVE, Upper Montclair, NJ 07043
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Other Identifiers 1

Medicare ID-Type Unspecified645452NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Grace A Baumgarten Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961449830
PECOS Enrollment IDI20050412000938
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
160 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07043 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 $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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 8

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

RECOVERY & WELLNESS CENTER, LLC.
Nurse Practitioner (Psychiatric/Mental Health)
218 LORRAINE AVE
MONTCLAIR, NJ 07043
Essex County (917) 751-8700
DR. EDWARD DAVID GOLD DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
218 LORRAINE AVE
UPPER MONTCLAIR, NJ 07043
Essex County (973) 744-1912
MONTCLAIR ORTHODONTICS, LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
218 LORRAINE AVE
UPPER MONTCLAIR, NJ 07043
Essex County (973) 744-1912
ALESSANDRA DUCASSE LCSW
Social Worker
218 LORRAINE AVE
MONTCLAIR, NJ 07043
Essex County (856) 432-2517
DR. HADLEY A RUBINO D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
218 LORRAINE AVE
MONTCLAIR, NJ 07043
Essex County (973) 744-1912
SUSAN H. LEVINE MSW
Social Worker (Clinical)
218 LORRAINE AVE, SUITE 2
UPPER MONTCLAIR, NJ 07043
Essex County (973) 744-7250
MRS. LESLIE D. HELLER M.S.W., L.C.S.W
Social Worker (Clinical)
218 LORRAINE AVE, SUITE 2R
UPPER MONTCLAIR, NJ 07043
Essex County (973) 744-4454
MERMINI COUNSELING, LLC
Community/Behavioral Health
218 LORRAINE AVE
UPPER MONTCLAIR, NJ 07043
Essex County (973) 634-2752

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 Grace Baumgarten's NPI number?

The NPI number for Grace Baumgarten is 1487796538. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Grace Baumgarten located?

Grace Baumgarten practices at 218 Lorraine Ave, Upper Montclair, NJ 07043. The listed phone number is (973) 746-7731.

What is Grace Baumgarten's specialty?

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

Is Grace Baumgarten enrolled in Medicare?

Yes. Grace Baumgarten is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Grace Baumgarten accept?

Health plans from Providence Health Plan list Grace Baumgarten 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 Grace Baumgarten was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.