MARIE ANNETTE BASTY LICENSED CLINICAL SO NPI 1992912422

NPI Information

  • NPI: 1992912422
  • Provider Name: MARIE ANNETTE BASTY, LICENSED CLINICAL SO
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: LAC COURTE OREILLES COMMUNITY HEALTH CENTER
    13380 W TREPANIA ROAD
    HAYWARD, WI
    ZIP 54843
  • Phone: (715) 638-5100

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NPI Details

Marie Annette Basty, LICENSED CLINICAL SO is a clinical social worker in Hayward, WI. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Marie Annette Basty, LICENSED CLINICAL SO NPI is 1992912422. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

LAC COURTE OREILLES COMMUNITY HEALTH CENTER
13380 W TREPANIA ROAD
HAYWARD, WI
ZIP 54843
Phone: (715) 638-5100

The enumeration date for this NPI number is 5/16/2007 and was last updated on 3/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical127176WISCONSINNo
21041C0700XSocial WorkerClinical7686-123WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
143716300MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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