Cynthia R Bejster, LCSW
Individual provider Active NPI Clinical Social Worker · East Chicago, IN
NPI 1003942285 · NPPES record last updated Apr 8, 2009
Key facts
- NPI
- 1003942285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34005038A (IN)
- Practice address
- 3903 Indianapolis Blvd
East Chicago, IN 46312-2555 - Phone
- (219) 392-6065
- Fax
- (219) 392-6998
- NPI assigned
- Feb 24, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160518001457 | IN | Practitioner - Clinical Social Worker | 0648569459 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34005038A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Counseling Center | Current |
Accepting new patients |
Locations
158 N Main St
Crown Point, IN 46307
Phone (219) 663-0888
119 E Goldsborough St
Ste A
Crown Point, IN 46307
Phone (219) 663-0888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34005038A | IN | Yes |
Addresses
Primary practice location
3903 Indianapolis Blvd
East Chicago, IN 46312-2555
Mailing address
3903 Indianapolis Blvd
East Chicago, IN 46312-2555
Phone (219) 392-6065
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200275200A | Medicaid | IN |
Other providers in East Chicago, IN
- Raquel B Barreto Castro
- Hunter Bates
- Latoyia Beal
- Robert Beedle
- Hanna-Elyzabeth Faith Bejar
- Alicia Berman
- Ladonna Berryhill
- James Archie Blackwood
- Gregory Lee Blair
- Alfonso A Blum
All providers in East Chicago, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.