Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912363375 Individual Practitioner Male Practitioner

Jay Alan Bastian , LCSW

Social Worker • Fort Wayne, IN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jay Bastian, LCSW is a certified Social Worker practicing in Fort Wayne, IN. With approximately 12 years of clinical experience since completing medical education in 2014, Jay Bastian delivers high-quality medical care to the local community at 9329 ILLINOIS RD.

Jay Bastian accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

9329 Illinois Rd

Fort Wayne, IN 468045796

Telephone 2604189653
Associated Practice Facility / Clinic
🏢 Booth & Company, Inc. Facility NPI 1679694327

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Fort Wayne, IN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +0.4 yrs vs City Avg
City Avg: 11.6 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
119 Specialists

Practicing in Fort Wayne, IN (2058 Statewide)

Telehealth Adoption Rate
1.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bastian (12 Years) 12 Yrs
Fort Wayne Specialty Average (11.6 Years) 11.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-10-15
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License IN 33007337A

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Sam Booth , MA

Counselor - Mental Health

NPI 1063380475

Master of Arts

NPI 1508713199

Master of Social Work, Licensed Social Worker

Dr. Spencer Booth , PsyD, HSPP

Psychologist - Clinical

NPI 1730495813

Doctor of Psychology (Psy.D.), HSPP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 15, 2024

Registered at 9329 ILLINOIS RD, FORT WAYNE, IN 468045796 (Tel: 2604189653)

📍
Updated Business Mailing Address October 15, 2024

Registered at 9329 ILLINOIS RD, FORT WAYNE, IN 468045796 (Tel: 2604189653)

📍
Updated Practice Location October 03, 2024

Registered at 5420 SHERINGTON RD, FORT WAYNE, IN 468147510 (Tel: 2604189653)

📍
Updated Business Mailing Address October 03, 2024

Registered at 5420 SHERINGTON RD, FORT WAYNE, IN 468147510 (Tel: 2604189653)

👤
Provider Name / Credentials Updated October 03, 2024

Recorded as JAY BASTIAN, LCSW

NPI Profile Active January 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2016

Registered at 5004 WOODHURST BLVD, FORT WAYNE, IN 468073134 (Tel: 2604189653)

📍
Updated Business Mailing Address January 14, 2016

Registered at 5004 WOODHURST BLVD, FORT WAYNE, IN 468073134 (Tel: 2604189653)

👤
Provider Name / Credentials Updated January 14, 2016

Recorded as JAY BASTIAN, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2016

Social Worker (License #33007337A in IN)

🟢
Initial NPI Registration & Enumeration January 14, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912363375
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2016
Last Update: October 15, 2024
Sole Proprietor: Yes

Mailing Address

9329 Illinois Rd

Fort Wayne, IN 468045796

Phone: 2604189653

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.