Erin B Bastian, LCSW
Individual provider Active NPI Clinical Social Worker · Exeter, CA
NPI 1497979926 · NPPES record last updated Jul 5, 2019
Key facts
- NPI
- 1497979926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 21720 (CA)
- Practice address
- 29804 Road 210
Exeter, CA 93221-9768 - Phone
- (559) 592-4525
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20200203001471 | CA | Order and Referring Only - Clinical Social Worker | 9436585817 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Valley Recovery Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 21720 | CA | Yes |
Addresses
Primary practice location
29804 Road 210
Exeter, CA 93221-9768
Mailing address
29804 Road 210
Exeter, CA 93221-9768
Phone (559) 592-4525
Other practice location 1
1731 W Walnut Ave
Visalia, CA 93277-6232
Phone (559) 732-4885
Other providers in Exeter, CA
- Daniel Apolinario
- Alejandra Arellano-Ramirez
- B&D Morgan, Inc.
- B&D Morgan, Inc.
- Melina Castillo Barrera
- Sara Rojas Bautista
- Francisco Antonio Bedolla
- Sara Benitez
- Francesca Raquel Bielby
- Gary Bonds
All providers in Exeter, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2019. 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.