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

Individual provider Clinical Social Worker · NPI 1124631528

Michelle Bazin-Johnson, LCSW is a Clinical Social Worker in Michigan City, Indiana. Qualified in 1991, 35 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
35
Licensed in
IN
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

107 Woodland Ct Ste B
Michigan City, IN 46360-7393
Phone: (219) 336-4866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34004393A (IN)

Record details

NPI number1124631528
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 25, 2020
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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