Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Bauman

Individual provider Clinical Social Worker · NPI 1114330248

Kimberly Bauman is a Clinical Social Worker in Blaine, Minnesota. Qualified in 2004, 22 years ago. Practices with Rum River Counseling, Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
22
Licensed in
MN
In the registry since
2014
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Practice location Address checks out

11870 Ulysses St NE Ste 200
Blaine, MN 55434-4193
Phone: (651) 485-5428
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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 17107 (MN)

Record details

NPI number1114330248
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2014
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023
Mailing address1875 Station Pkwy Nw, Andover, MN 55304-3319

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 Rum River Counseling, Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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