1. Home
  2. Directory
  3. Wisconsin
  4. West Bend
  5. Social Worker
  6. NPI Profile

MS. MARY GRACE BAUMGARTNER LCSW
NPI 1902215049
Social Worker - Clinical in West Bend, WI

Active since August 02, 2014Opted out of Medicare · through Feb 29, 2028
1412 RIDGEWOOD DR, WEST BEND, WI 53095(314) 974-7040 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2026, Jan 25, 2021, Jan 11, 2019 (3 updates tracked since 2019).

About Ms. Mary Grace Baumgartner Lcsw NPPES

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

MS. MARY GRACE BAUMGARTNER LCSW (NPI 1902215049) is an individual clinical provider in West Bend, Wisconsin, licensed in Wisconsin (8552-123) and active in the NPI registry since August 2014. She has opted out of Medicare through February 29, 2028.

NPPES Registry Identity

NPI1902215049
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARY GRACE BAUMGARTNERCredential: LCSW
Location Address1412 RIDGEWOOD DRWest Bend, WI 53095-5501
Mailing Address1412 Ridgewood DrWest Bend, WI 53095-5501 · (314) 974-7040
Phone(314) 974-7040
Sole ProprietorYes
Enumeration DateAugust 2, 2014
Last NPPES UpdateJanuary 20, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1902215049 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 WI · 8552-123
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.
1412 RIDGEWOOD DR, West Bend, WI 53095
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Mary Grace Baumgartner 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 February 28, 2022 through February 29, 2028.

Opt-Out Effective DateFebruary 28, 2022
Opt-Out In Effect ThroughFebruary 29, 2028Opt-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 Mary Baumgartner's NPI number?

The NPI number for Mary Baumgartner is 1902215049. It was assigned to this individual provider in the NPPES registry on August 2, 2014.

Where is Mary Baumgartner located?

Mary Baumgartner practices at 1412 Ridgewood Dr, West Bend, WI 53095. The listed phone number is (314) 974-7040.

What is Mary Baumgartner's specialty?

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

Is Mary Baumgartner enrolled in Medicare?

No. Mary Baumgartner has opted out of Medicare through February 29, 2028. 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 Mary Baumgartner was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.