Search › Michigan › 1041C0700X
Sebastian Fastrich, LCSW, LMSW, ICADC
NPI 1023788650 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4646 John R St
Detroit, MI 48201 - Phone
- (313) 576-1000
- Organisation at this address
- Detroit Vamc
Detroit Vamc
John D. Dingell Vamc
John D. Dingell Vahcs
Department Of Veteran AffairsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,151
Additional practice sites
- 7305 N Military Trl, Riviera Beach, FL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- FL, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan