Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brock Allan Bauer, LISW-S, SAP

Individual provider Clinical Social Worker · NPI 1407090897

Brock Allan Bauer, LISW-S, SAP is a Clinical Social Worker in Columbus, Ohio. Qualified in 2004, 22 years ago. Practices with Enliven Resources LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
22
Licensed in
OH
In the registry since
2009
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Practice location Address checks out

929 Harrison Ave 304
Columbus, OH 43215-1346
Phone: (614) 940-4868
Fax: (614) 923-7525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.0700102-SUPV (OH)

Record details

NPI number1407090897
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW-S , SAP
Sole proprietorYes
NPI enumeratedApril 29, 2009
Last updated in NPPESJanuary 1, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Enliven Resources Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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