Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jason Ray Bullard-Batiste, LCSW

Individual provider Clinical Social Worker · NPI 1821509761

Dr. Jason Ray Bullard-Batiste, LCSW is a Clinical Social Worker in Martinsville, Indiana. Qualified in 2020, 6 years ago. Works from 3 locations. Licensed in Indiana and Louisiana.

Years since qualifying
6
Licensed in
IN, LA
In the registry since
2017
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

2209 John R Wooden Dr
Martinsville, IN 46151-1840
Phone: (317) 944-2819
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 750 S Garrison Chapel Rd, Bloomington, IN 47403-9604 — (504) 400-4204
  • 2209 John R Wooden Dr, Martinsville, IN 46151-1840 — (317) 944-2819

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34010130A (IN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 12586 (LA)

Record details

NPI number1821509761
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 18, 2017
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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