Individual ProviderJennifer BaumgartnerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address232 E Gish Rd, San Jose, CA 95112-4706(408) 332-6849PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Baumgartner does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1629477708Provider TypeIndividualFull NameBaumgartner, JenniferGenderFemaleSole ProprietorNoEnumeration Date8/14/2014Last Updated11/17/2025Contact InformationPractice LocationPractice Address232 E Gish Rd, San Jose, CA 95112-4706Phone(408) 332-6849FaxUnlisted FaxMailing LocationMailing Address232 E Gish Rd, San Jose, CA 95112-4706Phone(408) 332-6849FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense102570CaliforniaCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode225400000XDescriptionRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense102570CaliforniaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense102570California