JAY ALAN BASTIAN


Address: 5004 Woodhurst Blvd, Fort Wayne, IN 46807-3134
Phone: 2604189653

JAY ALAN BASTIAN (NPI# 1912363375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912363375
Entity Type Individual
Full Name JAY ALAN BASTIAN
Credential LSW
Practice Address 5004 Woodhurst Blvd
Fort Wayne
IN 46807-3134
Practice Telephone 2604189653
Mailing Telephone 2604189653
Enumeration Date 2016-01-14
Last Update Date 2016-01-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 33007337A IN Behavioral Health & Social Service Providers

Office Location

Street Address 5004 WOODHURST BLVD
City FORT WAYNE
State IN
Zip Code 46807-3134

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982234191 Erin Hall Case Manager/Care Coordinator 5800 Faifield, Fort Wayne, IN 46807 2020-01-16
1912208745 Lezly A Scott Counselor 2417 Fairfield Ave., Attn: Lezly Scott, Fort Wayne, IN 46807 2010-11-10
1851749147 Eric Shoemaker Family Medicine 1007 W Rudisill Blvd, Fort Wayne, IN 46807 2016-05-27
1821464603 Emily Nicole Ackerman Physical Therapist 5800 Fairfield Ave, Ste 150, Fort Wayne, IN 46807 2015-08-17
1477639698 John P Crowley Social Worker 2805 Fairfield Ave, Fort Wayne, IN 46807 2006-10-31
1770131948 Donzhae Lee Student in an Organized Health Care Education/Training Program 2510 Thompson Ave, Fort Wayne, IN 46807-1051 2019-08-30
1407919236 The Arc of Northeast Indiana Inc. Intermediate Care Facility, Mentally Retarded 2522 Thompson Ave, Fort Wayne, IN 46807-1051 2006-12-19
1770725244 Clinical Services, LLC Clinic/Center 2315 Broadway, Fort Wayne, IN 46807-1103 2009-03-30
1831252592 Rosie T Milner Nurse Practitioner 2315 Broadway, Fort Wayne, IN 46807-1103 2006-12-17
1558379453 James Curtis Potts Dentist 2703 Broadway, James C Potts Dds, Fort Wayne, IN 46807-1111 2006-08-04
Find all providers in zip 46807

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710587548 Laura Raquel Rochford Social Worker 3702 New Vision Dr Bldg B, Fort Wayne, IN 46845-1703 2020-10-30
1801407689 Hand Along The Way, LLC Social Worker 4118 Sandhurst Dr, Fort Wayne, IN 46815-5430 2020-08-13
1588200604 Shalynn Grace Bailey Social Worker 2625 Medford Dr, Fort Wayne, IN 46803-3132 2019-11-24
1669757225 Denise Jensen Social Worker 12306 Goldeneyes Ct, Fort Wayne, IN 46845-9160 2011-10-14
1679743033 Sandra Ellen Chauhan Social Worker 8708 Woodstream Dr, Fort Wayne, IN 46804-6564 2008-03-01
1184815102 James Scott Ferraro Social Worker 12527 Carroll Creek Run, Fort Wayne, IN 46818-8780 2007-08-06
1487870531 Michelle A. Hoffman Social Worker Lutheran Hospital- Social Services, 7950 W. Jefferson Blvd., Fort Wayne, IN 46804 2007-04-17
1417083486 Deborah Mcculloch Social Worker 3737 Lake Ave, Fort Wayne, IN 46805-5554 2007-02-26
1063432425 Diana Lynn Pierce Social Worker 10305 Dawsons Creek Blvd Ste C, Fort Wayne, IN 46825-1914 2006-07-20
1215930755 Heidi M Sims Social Worker 5215 N Bend Dr, Fort Wayne, IN 46804-1651 2005-05-28
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46807

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Dataset Information

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.

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