Michelle Bazin-johnson, LCSW | |
107 Woodland Ct Ste B, Michigan City, IN 46360-7393 | |
(219) 336-4866 | |
Not Available |
Full Name | Michelle Bazin-johnson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 107 Woodland Ct Ste B, Michigan City, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124631528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34004393A (Indiana) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210416002216 |
Entity Name | Mbj Counseling Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942986864 PECOS PAC ID: 6800258500 Enrollment ID: O20230811002471 |
Mailing Address | Practice Location Address |
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Michelle Bazin-johnson, LCSW 107 Woodland Ct Ste B, Michigan City, IN 46360-7393 Ph: (219) 336-4866 | Michelle Bazin-johnson, LCSW 107 Woodland Ct Ste B, Michigan City, IN 46360-7393 Ph: (219) 336-4866 |
Melissa Ann Morse, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 117 Wabash, Michigan City, IN 46360 Phone: 219-362-2145 | |
Mr. Chad A Booth, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 Saint John Rd, Michigan City, IN 46360 Phone: 219-872-8666 | |
Mrs. Imojeanne Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 Saint John Rd, Suite 501, Michigan City, IN 46360 Phone: 219-362-2145 | |
William Edward Short, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 710 Franklin St Ste 200, Michigan City, IN 46360 Phone: 219-872-6200 | |
Christine Cuddeback, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7224 W 400 N, Michigan City, IN 46360 Phone: 219-879-4621 | |
Nicole Hufford, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7224 W 400 N, Michigan City, IN 46360 Phone: 219-879-4621 |