Active NPI
Martha Leticia Sandoval Bustamante, LCSW
- Clinical Social Worker
- Fort Hood, TX
National Provider Identifier
1013924042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 28651
- Practice address
- Building 2255
Department of Social Work
Fort Hood, TX 76544 - Phone
- (254) 288-6474
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 28651 | TX | Primary |
Addresses
Primary practice location
Building 2255
Department of Social Work
Fort Hood, TX 76544
Mailing address
36000 Darnall Loop
Carl R Darnall Army Medical Center
Fort Hood, TX 76544
Phone (254) 288-6474
Other names 1
- Martha L. Bustamante
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28651 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aoc Outreach Services | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013924042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36000 DARNALL LOOP",
"address_2": "CARL R DARNALL ARMY MEDICAL CENTER",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-288-6474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BUILDING 2255",
"address_2": "DEPARTMENT OF SOCIAL WORK",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-288-6474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL BUSTAMANTE",
"first_name": "MARTHA",
"middle_name": "LETICIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "28651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARTHA",
"last_name": "BUSTAMANTE",
"middle_name": "L.",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.