John Francis Breslin, LSW, LCAC
Individual provider Active NPI Social Worker · East Chicago, IN
NPI 1689718249 · NPPES record last updated Jan 19, 2012
Key facts
- NPI
- 1689718249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 33000632A (IN)
- Practice address
- 3903 Indianapolis Blvd
East Chicago, IN 46312-2555 - Phone
- (219) 398-7050
- Fax
- (219) 392-6998
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87000046A | IN | MD | Addiction (Substance Use Disorder) Counselor |
| 33000632A | IN | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33000632A | IN | Yes |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 87000046A | IN |
Addresses
Primary practice location
3903 Indianapolis Blvd
East Chicago, IN 46312-2555
Mailing address
8400 Louisiana St
Merrillville, IN 46410-6385
Phone (219) 757-1928
Other providers in East Chicago, IN
- Lilia Ivette Bonilla
- Eugene Keith Boone
- Tonda Rochelle Boyd
- Kale Lean Bradford
- Stacie Braswell
- Andrew Michael Brown
- Ava Lavern Brown
- Carol Marie Budgin
- Deborah Bullard
- Doris Burgess
All providers in East Chicago, IN · 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 Jan 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.