Individual provider Active NPI

Josue Bustos, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1003466731
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-17968 Issued in AZ
Practice address
1101 N Central Ave Ste 200
Phoenix, AZ 85004-1844
Phone
(602) 307-5330
Fax
(602) 307-5021
NPI assigned
Sep 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-17968 AZ Primary

Addresses

Primary practice location

1101 N Central Ave Ste 200
Phoenix, AZ 85004-1844

Mailing address

1101 N Central Ave Ste 200
Phoenix, AZ 85004-1844
Phone (602) 307-5330

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.swcenter.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200507002803 AZ Practitioner - Clinical Social Worker 3971934936 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Life FL PAGroup PAC ID 7517465354, 8 clinicians
Total Life IncGroup PAC ID 8123433034, 113 clinicians

Practice addresses (Care Compare)

7301 N 16TH St
Suite 102
Phoenix, AZ 85020-5266
Phone (800) 567-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Inc. CurrentSince May 28, 2023 Accepting new patients
Total Life FL PA CurrentSince Sep 1, 2025 Accepting new patients
Warriors Code Inc. CurrentSince Jul 27, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Feb 29, 2024 Accepting new patients
Valle del Sol, Inc. CurrentSince Sep 24, 2021 Accepting new patients
Valle del Sol, Inc. Current Accepting new patients

Locations

7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

3877 N 7th St
Ste 400
Phoenix, AZ 85014
Phone (602) 257-8118

3807 N 7th St
Phoenix, AZ 85014

1246 E Jefferson St
Phoenix, AZ 85034
Phone (602) 653-3022

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1003466731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N CENTRAL AVE STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041844",
            "telephone_number": "602-307-5330",
            "fax_number": "602-307-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N CENTRAL AVE STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041844",
            "telephone_number": "602-307-5330",
            "fax_number": "602-307-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTOS",
        "first_name": "JOSUE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-15",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-17968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.swcenter.org/",
            "affiliation": "N",
            "address_1": "1101 N Central Ave Ste 200",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850041844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.