Michelle Ablaza Bandy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

121909 Issued in CA

Practice address

3727 Sunset LN Ste 110
Antioch, CA 94509-6134

Phone

(925) 778-1667

NPI assigned

Jun 27, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Health for Asian Americans

  • Community/Behavioral Health Agency
  • Antioch, CA
  • NPI 1932390093
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1295220614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 SUNSET LN STE 110",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096134",
            "telephone_number": "925-778-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 SUNSET LN STE 110",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096134",
            "telephone_number": "925-778-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDY",
        "first_name": "MICHELLE",
        "middle_name": "ABLAZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "121909",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "85465",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn Stacey Baldwin, PTA
• Balfour Vision Optix Optometry Inc.
• Jaimie Balingit
• Joshua Ballesteros
• Bolanle Bolaji Balogun, PMHNP
• Emily Banks
• Sevaughn Banks, PHD, ACSW
• Ta'Kera Banks
• Ana Carina Barajas-Barragan, DOULA
• Jorge O. Barbaste, LMFT

• Clinical Social Worker in Antioch, CA
• Providers in Antioch, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.