JOHN LEE BAZAN (NPI# 1598107435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598107435 |
| Entity Type | Individual |
| Full Name | JOHN LEE BAZAN |
| Credential | LCSW |
| Practice Address |
4614 N Ih 35 Austin TX 78751-3401 |
| Practice Telephone | 5129789100 |
| Practice Fax Number | 5129019751 |
| Mailing Telephone | 5129789100 |
| Mailing Fax Number | 5129019751 |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2017-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
53416 | TX | Behavioral Health & Social Service Providers |
| Street Address |
4614 N IH 35 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78751-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457350290 | James Allen Zachary | Internal Medicine | 4614 N Ih 35, Austin, TX 78751-3401 | 2005-07-14 |
| 1013570027 | Central Texas Community Health Centers | Pharmacy | 4614 N Ih 35, Austin, TX 78751-3401 | 2019-04-16 |
| 1578984589 | Derek James Kerl | Social Worker | 4614 N Ih 35, Austin, TX 78751-3401 | 2013-12-17 |
| 1891123733 | Laura H Smith | Dietitian, Registered | 4614 N Ih 35, Austin, TX 78751-3401 | 2013-10-30 |
| 1790029460 | Diana M.p. Stout | Nurse Practitioner | 4614 N Ih 35, Austin, TX 78751-3401 | 2012-11-19 |
| 1013148279 | Dennis B. Nelson | Counselor | 4614 N Ih 35, Austin, TX 78751-3401 | 2009-08-05 |
| 1124285747 | City of Austin | Pharmacy | 4614 N Ih 35, Austin, TX 78751-3401 | 2008-05-21 |
| 1407911969 | Robert G Morrison | Internal Medicine | 4614 N Ih 35, Austin, TX 78751-3401 | 2006-12-26 |
| 1609887496 | Christine Elizabeth Marquette | Dietitian, Registered | 4614 N Ih 35, Austin, TX 78751-3401 | 2006-08-10 |
| 1083632459 | Brendan Michael De Marco | Internal Medicine | 4614 N Ih 35, Austin, TX 78751-3401 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235657867 | Joy Miller | Social Worker | 4920 N Ih 35 Suite 110, Austin, TX 78751 | 2017-09-04 |
| 1053859306 | Metabolic Therapy Inc. | Pharmacy | 4103 Avenue D, Austin, TX 78751 | 2017-02-07 |
| 1316390438 | Hillary Guest | Speech-Language Pathologist | 5406 Middle Fiskville Rd Apt 410, Austin, TX 78751 | 2016-07-14 |
| 1891151866 | Simonek Vision, Pllc | Optometrist | 1000 E. 41st Street, Suite 120, Austin, TX 78751 | 2016-01-06 |
| 1750771911 | Angela Ziskis | Psychologist | 4110 Gualdalupe Street, Building 794, Specialty Services, Austin, TX 78751 | 2015-01-27 |
| 1750783841 | Lizette Araujo | Psychologist | 5225 North Lamar Blvd., Austin, TX 78751 | 2014-09-19 |
| 1013323724 | Matrix Therapy, LLC | Clinic/Center | 5204 Avenue F, Austin, TX 78751 | 2014-07-02 |
| 1215281738 | Elizabeth Ann White | Clinical Nurse Specialist | 818 East 53rd Street, Austin, TX 78751 | 2012-11-06 |
| 1619259934 | Samir K Momin | Dentist | 1000 E 41st Street, Suite 230, Austin, TX 78751 | 2011-09-13 |
| 1467740753 | Gary G. Plakias | Technician, Other | 5400 N Lamar Blvd, 206b, Austin, TX 78751 | 2011-07-20 |
| Find all providers in zip 78751 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326926 | Janai June Bryan | Social Worker | 2312 Western Trails Blvd Ste B204, Austin, TX 78745-1677 | 2020-11-06 |
| 1902405343 | Elizabeth Arthur Thomas | Social Worker | 13128 Amarillo Ave, Austin, TX 78729-7557 | 2020-10-17 |
| 1821695610 | My-emerge,pllc | Social Worker | 13740 Research Blvd # 0-4, Austin, TX 78750-1884 | 2020-10-05 |
| 1215544630 | Emily Hackett | Social Worker | 4131 Spicewood Springs Rd Ste 3, Austin, TX 78759-8661 | 2020-09-29 |
| 1386259364 | Stefanie Nikole Burke | Social Worker | 3607 S Lamar Blvd Apt 1420, Austin, TX 78704-0391 | 2020-09-15 |
| 1326653692 | Susan Malena Gallego | Social Worker | 106 Timber Ridge Cv, Austin, TX 78733-3136 | 2020-09-13 |
| 1588275663 | Armando Sanchez | Social Worker | 3811 Run of The Oaks St Apt C, Austin, TX 78704-7843 | 2020-08-12 |
| 1861002594 | Jeneke Lesak | Social Worker | 111 Ramble Ln Ste 120-d, Austin, TX 78745-2278 | 2020-08-06 |
| 1306456264 | Abby Lubran | Social Worker | 6906 Langston Dr, Austin, TX 78723-2220 | 2020-08-05 |
| 1639788516 | James Nichols | Social Worker | 12319 Willow Wild Dr, Austin, TX 78758-2725 | 2020-07-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.