Nicole Bastian, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801091248 Issued in MI

Practice address

6235 Gratiot Rd Ste 307
Saginaw, MI 48638-5987

Phone

(989) 475-4600

NPI assigned

Feb 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Manifest Life Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saginaw, MI
  • NPI 1568926129
  NPD (past)

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1720479546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6235 GRATIOT RD STE 307",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385987",
            "telephone_number": "989-475-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6235 GRATIOT RD STE 307",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385987",
            "telephone_number": "989-475-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIAN",
        "first_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bismah Basharat, MD
• Mohammad Arshad Bashir, MD
• Kelly M Baskind, PH.D.
• Binita Basnet
• Danielle Kay Bassi, CNM
• James R Bates, DPT
• Ronnie Bates
• Summer A Bates, FNP-BC, ACHPN
• Aubrey Battani, LMSW
• Tracy Lynn Batterson, CRNA

• Clinical Social Worker in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.