SearchIndianaSocial Worker

Jay Bastian, LCSW

NPI 1912363375 · on the registry since 2016 · sole proprietor

Practice

Address
9329 Illinois Rd
Fort Wayne, IN 46804
Phone
(260) 418-9653
Organisation at this address
Jay Bastian Llc
Booth & Company, Inc.
People And Pathways Consulting Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Social Worker
104100000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-15

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 Indiana