Individual
MR. MICHAEL WORKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, PMHNP
Contact information
Practice address
707 N MICHIGAN ST STE 400, SOUTH BEND, IN 46601-1071
(574) 647-8470
(574) 647-8475
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
28130042A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71004997A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000882979
BCBS BMG LAPORTE
IN
01
—
000000883509
BCBS BMG MAIN STREET
IN
01
—
000000883510
BCBS BMG IRELAND
IN
01
—
000000886472
BCBS BMG BEHAVIORAL HEALTH
IN
01
—
000000923971
BCBS BMG BEHAVIORAL HEALTH
IN
05
—
201243450
—
IN
01
—
P01579587
RR MEDICARE
IN
Enumeration date
06/17/2014
Last updated
03/18/2026
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