| Mr Sebastian Bach Fastrich, LCSW, LMSW, MCAP | |
|
6773 W Maple Rd, West Bloomfield, MI 48322-3030 | |
| (248) 788-3033 | |
| (248) 661-7347 |
| Full Name | Mr Sebastian Bach Fastrich |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 6773 W Maple Rd, West Bloomfield, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023788650 | NPI | - | NPPES |
| MCAP.0101133 | Other | FL | MASTERS LEVEL CERTIFIED ADDICTION'S PROFESSIONAL |
| 6801119757 | Other | MI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW21875 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801119757 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Sebastian Bach Fastrich, LCSW, LMSW, MCAP 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806 | Mr Sebastian Bach Fastrich, LCSW, LMSW, MCAP 6773 W Maple Rd, West Bloomfield, MI 48322-3030 Ph: (248) 788-3033 |
Shari-beth Goldman, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6555 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-592-2300 Fax: 248-592-2340 | |
Ms. Michelle Klein, MSW,CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6020 W Maple Rd Ste 501, West Bloomfield, MI 48322 Phone: 248-932-4325 | |
Natasha Castelvetere, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7096 Orchard Lake Rd, West Bloomfield, MI 48322 Phone: 616-328-6600 | |
Sarah Dubuc, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6555 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-592-2300 | |
Mrs. Laurel Jean Rebenstock, LMSW, CAADC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5600 W Maple Rd Ste B212, West Bloomfield, MI 48322 Phone: 248-605-5049 | |
Mrs. Lisa Weingarden Kaplan, LMSW, CAADC, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6773 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-788-3005 Fax: 248-661-6184 |