Jay Bastian LLC
Jay Bastian LLC is a Clinical Social Worker in Fort Wayne, Indiana. Works from 2 locations. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2018
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9329 Illinois RdFort Wayne, IN 46804-5796
Phone: (260) 418-9653
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 5420 Sherington Rd, Fort Wayne, IN 46814-7510 — (260) 418-9653
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 34007970A (IN) |
|---|
Record details
| NPI number | 1740780204 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jay Bastian — Psychotherapist · (260) 418-9653 |
| NPI enumerated | February 20, 2018 |
| Last updated in NPPES | October 26, 2024 |
| Certification date | October 26, 2024 |
| Mailing address | 9329 Illinois Rd, Fort Wayne, IN 46804-5796 |
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