MR. SEBASTIAN BACH FASTRICH LCSW, LMSW, ICADC
NPI 1023788650
Social Worker - Clinical in Detroit, MI

Q: What is Sebastian Fastrich's NPI number?

The NPI number for Sebastian Fastrich is 1023788650. It was assigned to this individual provider in the NPPES registry on September 15, 2021.

Q: What is Sebastian Fastrich's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since September 15, 2021PECOS Enrolled

4646 JOHN R ST, DETROIT, MI 48201(313) 576-1000 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2025, May 6, 2025, Feb 21, 2025 and 4 more (7 updates tracked since 2021).

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About Mr. Sebastian Bach Fastrich Lcsw, Lmsw, Icadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SEBASTIAN BACH FASTRICH LCSW, LMSW, ICADC (NPI 1023788650) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6801119757) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Riviera Beach.

NPPES Registry Identity

NPI1023788650

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. SEBASTIAN BACH FASTRICHCredential: LCSW, LMSW, ICADC

Location Address4646 JOHN R STDetroit, MI 48201-1916

Mailing Address4646 John R StDetroit, MI 48201-1916 · (313) 576-1000

Phone(313) 576-1000

Sole ProprietorYes

Enumeration DateSeptember 15, 2021

Last NPPES UpdateJuly 23, 20257 updates tracked since enumeration

NPPES CertifiedJuly 23, 2025

✔ NPI 1023788650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in MI · 6801119757✔ Licensed in FL · SW21875

Definition

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.

4646 JOHN R ST, Detroit, MI 48201

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Secondary Practice Location 1

Location 17305 N Military TrlRiviera Beach, FL 33410-7417 · Phone (561) 422-8262

Other Identifiers 4

OtherICADC.0000142FL · Internationally Certified Alcohol & Drug Counselor

OtherMCAP.0101133FL · Masters Level Certified Addiction's Professional

Other2-02071MI · Certified Alcohol And Drug Counselor

Other6801119757MI · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Sebastian Bach Fastrich Lcsw, Lmsw, Icadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.04 – $177.36

Typical copayment $0.00 (range $14.51 – $44.34)

Most-billed visit code NA

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YURIJ CHERSTYLO

Student in an Organized Health Care Education/Training Program